Tensor fascia lata(TFL)flap is a versatile myofasciocutaneous flap.It has varied usages as both free and pedicled flap.As a pedicled flap,it is a good option for reconstructing soft tissue defects after tumor ablation...Tensor fascia lata(TFL)flap is a versatile myofasciocutaneous flap.It has varied usages as both free and pedicled flap.As a pedicled flap,it is a good option for reconstructing soft tissue defects after tumor ablation.The TFL perforator flap is a good alternative for anterolateral thigh(ALT)flap.The advantages of TFL flap are that dissection can be made through the same incision,without impairment of other donor sites.The reconstructive plan remains same as that of ALT flap.TFL flap offers a good volume of skin and can be made thin removing variable portions of muscle.The present case is a 63-year-old patient with a carcinoma penis who underwent left ilioinguinal block dissection resulting in a defect of 8 cm×8 cm in the left inguinal region.TFL flap was raised with U-shaped incision and used for closure of the defect with good result.展开更多
BACKGROUND Reconstructive repair of huge full-thickness abdominal wall defects following debridement for abdominal electric burns remains a clinically challenging task.An ideal abdominal wall repair means a re-closure...BACKGROUND Reconstructive repair of huge full-thickness abdominal wall defects following debridement for abdominal electric burns remains a clinically challenging task.An ideal abdominal wall repair means a re-closure of the defected abdominal wall with pedicled neurovascular myofascial flaps,restoration of the abdominal wall integrity,and maintenance of the abdominal wall muscle tension to prevent the occurrence of abdominal wall hernia.When treating huge full-thickness defects,composite autologous tissue flaps are a good option for the repair.CASE SUMMARY This study reported the case of a 43-year-old male patient suffering from fullthickness abdominal wall defects complicated with necrosis of multiple bowel segments and duodenal leak following high-voltage burns involving the left upper limb and abdomen.After debridement for abdominal electric burns and end-to-end anastomosis for the necrotic bowels,reconstruction with acellular dermal matrix grafting and vacuum sealing drainage were performed for temporary abdominal closure.The remaining 18 cm×15 cm full-thickness abdominal wall defect was repaired using a combined anterolateral thigh and tensor fascia lata free flap.The proposed method achieved the functional reconstruction of the abdominal wall.CONCLUSION This approach restored the abdominal wall integrity,maintained certain muscle tension,avoided abdominal hernia,reached satisfactory aesthetic effect,and resulted in no complications in the grafting regions.展开更多
文摘Tensor fascia lata(TFL)flap is a versatile myofasciocutaneous flap.It has varied usages as both free and pedicled flap.As a pedicled flap,it is a good option for reconstructing soft tissue defects after tumor ablation.The TFL perforator flap is a good alternative for anterolateral thigh(ALT)flap.The advantages of TFL flap are that dissection can be made through the same incision,without impairment of other donor sites.The reconstructive plan remains same as that of ALT flap.TFL flap offers a good volume of skin and can be made thin removing variable portions of muscle.The present case is a 63-year-old patient with a carcinoma penis who underwent left ilioinguinal block dissection resulting in a defect of 8 cm×8 cm in the left inguinal region.TFL flap was raised with U-shaped incision and used for closure of the defect with good result.
文摘BACKGROUND Reconstructive repair of huge full-thickness abdominal wall defects following debridement for abdominal electric burns remains a clinically challenging task.An ideal abdominal wall repair means a re-closure of the defected abdominal wall with pedicled neurovascular myofascial flaps,restoration of the abdominal wall integrity,and maintenance of the abdominal wall muscle tension to prevent the occurrence of abdominal wall hernia.When treating huge full-thickness defects,composite autologous tissue flaps are a good option for the repair.CASE SUMMARY This study reported the case of a 43-year-old male patient suffering from fullthickness abdominal wall defects complicated with necrosis of multiple bowel segments and duodenal leak following high-voltage burns involving the left upper limb and abdomen.After debridement for abdominal electric burns and end-to-end anastomosis for the necrotic bowels,reconstruction with acellular dermal matrix grafting and vacuum sealing drainage were performed for temporary abdominal closure.The remaining 18 cm×15 cm full-thickness abdominal wall defect was repaired using a combined anterolateral thigh and tensor fascia lata free flap.The proposed method achieved the functional reconstruction of the abdominal wall.CONCLUSION This approach restored the abdominal wall integrity,maintained certain muscle tension,avoided abdominal hernia,reached satisfactory aesthetic effect,and resulted in no complications in the grafting regions.
