Soft tissue repair of large defects of lower limbs with deep inferior epigastric perforator flap

VernacularTitle:腹壁下动脉穿支皮瓣游离移植修复下肢大面积缺损
Author: Zhaoxiang ZHANG ; Shuzhong GUO ; Jian GENG ; Wensen XIA
Publication Type:Journal Article
Keywords: Lower limbs; Deep inferior epigastric perforator flap; Free graft; Microsurgical operation
From: Chinese Journal of Microsurgery 2013;(1):15-18
CountryChina
Language:Chinese
Abstract: Objective To study the method and effect of deep inferior epigastric perforator flap(DIEP)in repairing the large defects of lower limbs.Methods Eight cases,from July 2009 to November 2011,including 3 cases of plantar skin defects with bone exposure after foot injuries,three cases of plate exposure after tibia fracture surgery and 2 cases of heel repeated ulceration after skin graft,were repaired by deep inferior epigastric perforator flap.Results All deep inferior epigastric perforator flaps survived with good functions,except 1 case whose distal with poor blood supply and the flap survived after treatmenting,three cases of flap bloated with good appearances after second operation.Conclusion DIEP is a proper option for repair of large defects of lower limbs.It has the advantages of abundant blood supply,large flap area,abdomen can suturing without abdominal complications.