Reconstruction of complex lesions of the lower limbs with reverse fasciocutaneous flaps
INTRODUCTION: Complex lesions on the lower limbs have always been challenging because of their difficult resolution. Microsurgical free flaps have been an excellent surgical option; however, they have limited use because there are an insufficient number of clinicians trained in such structured servi...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2017-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/1821/en_v32n1a16.pdf |
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| author | Rafael Anlicoara Flávio Augusto Melo de Arruda Barbosa Jairo Zacché de Sá Antonio Carlos Corte Real Braga Guilherme Torreão de Sá |
| author_facet | Rafael Anlicoara Flávio Augusto Melo de Arruda Barbosa Jairo Zacché de Sá Antonio Carlos Corte Real Braga Guilherme Torreão de Sá |
| author_sort | Rafael Anlicoara |
| collection | DOAJ |
| description | INTRODUCTION: Complex lesions on the lower limbs have always been challenging because of their difficult resolution. Microsurgical free flaps have been an excellent surgical option; however, they have limited use because there are an insufficient number of clinicians trained in such structured services. Fasciocutaneous flaps, specifically reverse flow, have been shown to be an excellent option in treating lower limb injuries as an alternative to complex microsurgical free flaps.
METHODS: From January 2012 to June 2015, nine patients underwent reconstruction of the lower limbs with reverse fasciocutaneous flaps. All had extensive lesions on these limbs.
RESULTS: In eight patients, the results were satisfactory, and there were no major complications. In one patient, there was total necrosis of the flap.
CONCLUSION: Because of the relative technical simplicity of performing such a technique, fasciocutaneous flaps are a viable option for the reconstruction of complex wounds of the lower limbs and are an additional therapeutic option for patients with these lesions. |
| format | Article |
| id | doaj-art-bb358fb7eb694fe798f5800f53c5818b |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-bb358fb7eb694fe798f5800f53c5818b2025-08-20T02:51:18ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352017-03-01320111612210.5935/2177-1235.2017RBCP0016Reconstruction of complex lesions of the lower limbs with reverse fasciocutaneous flapsRafael Anlicoara0Flávio Augusto Melo de Arruda Barbosa1Jairo Zacché de Sá2Antonio Carlos Corte Real Braga3Guilherme Torreão de Sá4Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilINTRODUCTION: Complex lesions on the lower limbs have always been challenging because of their difficult resolution. Microsurgical free flaps have been an excellent surgical option; however, they have limited use because there are an insufficient number of clinicians trained in such structured services. Fasciocutaneous flaps, specifically reverse flow, have been shown to be an excellent option in treating lower limb injuries as an alternative to complex microsurgical free flaps. METHODS: From January 2012 to June 2015, nine patients underwent reconstruction of the lower limbs with reverse fasciocutaneous flaps. All had extensive lesions on these limbs. RESULTS: In eight patients, the results were satisfactory, and there were no major complications. In one patient, there was total necrosis of the flap. CONCLUSION: Because of the relative technical simplicity of performing such a technique, fasciocutaneous flaps are a viable option for the reconstruction of complex wounds of the lower limbs and are an additional therapeutic option for patients with these lesions.http://www.rbcp.org.br/export-pdf/1821/en_v32n1a16.pdfsurgical proceduresreconstructive surgical flapslower extremitymicrosurgery |
| spellingShingle | Rafael Anlicoara Flávio Augusto Melo de Arruda Barbosa Jairo Zacché de Sá Antonio Carlos Corte Real Braga Guilherme Torreão de Sá Reconstruction of complex lesions of the lower limbs with reverse fasciocutaneous flaps Revista Brasileira de Cirurgia Plástica surgical procedures reconstructive surgical flaps lower extremity microsurgery |
| title | Reconstruction of complex lesions of the lower
limbs with reverse fasciocutaneous flaps |
| title_full | Reconstruction of complex lesions of the lower
limbs with reverse fasciocutaneous flaps |
| title_fullStr | Reconstruction of complex lesions of the lower
limbs with reverse fasciocutaneous flaps |
| title_full_unstemmed | Reconstruction of complex lesions of the lower
limbs with reverse fasciocutaneous flaps |
| title_short | Reconstruction of complex lesions of the lower
limbs with reverse fasciocutaneous flaps |
| title_sort | reconstruction of complex lesions of the lower limbs with reverse fasciocutaneous flaps |
| topic | surgical procedures reconstructive surgical flaps lower extremity microsurgery |
| url | http://www.rbcp.org.br/export-pdf/1821/en_v32n1a16.pdf |
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