Clinical effects of free thinned deep inferior epigastric artery perforator flap in repairing extensive soft tissue defects in extremities
10.3760/cma.j.cn501120-20190415-00185
- VernacularTitle:游离修薄腹壁下动脉穿支皮瓣修复四肢大面积软组织缺损的临床效果
- Author:
Yang LIU
1
;
Dajiang SONG
;
Songlin XIE
;
Tao SONG
;
Wentao ZHANG
;
Xiaoning TIAN
;
Fei CONG
;
Xiaolong DU
;
Xun CHEN
;
Jinzhu FAN
;
Dingjun HAO
Author Information
1. 西安交通大学医学部 710000（现在西安市红会医院显微修复外科 710054）
- Keywords:
Surgical flaps;
Microsurgery;
Extremities;
Soft tissue injuries
- From:
Chinese Journal of Burns
2020;36(7):590-593
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility and clinical effects of using free thinned deep inferior epigastric artery perforator flap to repair extensive soft tissue defects in extremities.Methods:From April 2010 to January 2014, 12 patients with extensive soft tissue defect in extremities after trauma, including 10 males and 2 females, aged 21 to 48 years, 6 patients with defect in the back of wrist and 6 patients with defect in ankle were admitted to the Department of Bone Microsurgery of Xi′an Honghui hospital. After debridement, the size of soft tissue defect ranged from 15.0 cm×4.5 cm to 28.0 cm×11.0 cm. The free thinned deep inferior epigastric artery perforator flap was designed, cut and transferred for reconstruction, with size of 15.0 cm×5.0 cm to 29.0 cm×12.0 cm. The flap thickness ranged from 4.0 to 6.5 cm before defatting, and was 0.6 to 0.9 cm after defatting. All the donor sites of flaps were closed directly by suturing. The flap survival and the appearance and function of flap and donor site were observed during follow-up.Results:All the flaps survived smoothly after surgery. During follow-up of 10 to 42 months, the flaps showed no bloat in appearance, no further flap revision or defatting procedures were required, the distance of static 2-point discrimination was 11 to 17 mm (14.5 mm on average). The abdominal function of patients was not affected, and no postoperative abdomen hernia or ulceration was noted.Conclusions:The free thinned deep inferior epigastric artery perforator flap is thin and suitable for repairing extensive soft tissue defects in extremities with very good outcomes.
