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Double-Pedicled Free Deep Inferior Epigastric Perforator Flap for the Coverage of Thigh Soft-Tissue Defect

Soft-tissue defects caused by radiation injury are a challenging task for the reconstructive surgeon, due to the extent of the soft-tissue damage and the associated injuries of the local blood vessels and bone tissue. We present the application of the versatile deep inferior epigastric perforator (D...

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Detalles Bibliográficos
Autores principales: Bota, Olimpiu, Spindler, Nick, Sauber, Jeannine, Aydogan, Emrah, Langer, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585425/
https://www.ncbi.nlm.nih.gov/pubmed/28894652
http://dx.doi.org/10.1097/GOX.0000000000001372
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author Bota, Olimpiu
Spindler, Nick
Sauber, Jeannine
Aydogan, Emrah
Langer, Stefan
author_facet Bota, Olimpiu
Spindler, Nick
Sauber, Jeannine
Aydogan, Emrah
Langer, Stefan
author_sort Bota, Olimpiu
collection PubMed
description Soft-tissue defects caused by radiation injury are a challenging task for the reconstructive surgeon, due to the extent of the soft-tissue damage and the associated injuries of the local blood vessels and bone tissue. We present the application of the versatile deep inferior epigastric perforator (DIEP) flap for the coverage of an extended lateral thigh soft-tissue defect after the surgical resection of an undifferentiated pleomorphic high-grade sarcoma, neoadjuvant chemotherapy, and adjuvant chemo- and radiotherapy. A double-pedicled free DIEP flap (756 cm(2)) was harvested and anastomosed to the transverse branch of the lateral femoral circumflex artery and a lateral branch of the popliteal artery (P1). The flap survived completely without serious complications, and the patient was able to walk with crutches 3 months postoperatively. This is the first case report of a free bipedicled DIEP flap for the coverage of a thigh defect in a male patient.
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spelling pubmed-55854252017-09-11 Double-Pedicled Free Deep Inferior Epigastric Perforator Flap for the Coverage of Thigh Soft-Tissue Defect Bota, Olimpiu Spindler, Nick Sauber, Jeannine Aydogan, Emrah Langer, Stefan Plast Reconstr Surg Glob Open Case Report Soft-tissue defects caused by radiation injury are a challenging task for the reconstructive surgeon, due to the extent of the soft-tissue damage and the associated injuries of the local blood vessels and bone tissue. We present the application of the versatile deep inferior epigastric perforator (DIEP) flap for the coverage of an extended lateral thigh soft-tissue defect after the surgical resection of an undifferentiated pleomorphic high-grade sarcoma, neoadjuvant chemotherapy, and adjuvant chemo- and radiotherapy. A double-pedicled free DIEP flap (756 cm(2)) was harvested and anastomosed to the transverse branch of the lateral femoral circumflex artery and a lateral branch of the popliteal artery (P1). The flap survived completely without serious complications, and the patient was able to walk with crutches 3 months postoperatively. This is the first case report of a free bipedicled DIEP flap for the coverage of a thigh defect in a male patient. Wolters Kluwer Health 2017-08-28 /pmc/articles/PMC5585425/ /pubmed/28894652 http://dx.doi.org/10.1097/GOX.0000000000001372 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Bota, Olimpiu
Spindler, Nick
Sauber, Jeannine
Aydogan, Emrah
Langer, Stefan
Double-Pedicled Free Deep Inferior Epigastric Perforator Flap for the Coverage of Thigh Soft-Tissue Defect
title Double-Pedicled Free Deep Inferior Epigastric Perforator Flap for the Coverage of Thigh Soft-Tissue Defect
title_full Double-Pedicled Free Deep Inferior Epigastric Perforator Flap for the Coverage of Thigh Soft-Tissue Defect
title_fullStr Double-Pedicled Free Deep Inferior Epigastric Perforator Flap for the Coverage of Thigh Soft-Tissue Defect
title_full_unstemmed Double-Pedicled Free Deep Inferior Epigastric Perforator Flap for the Coverage of Thigh Soft-Tissue Defect
title_short Double-Pedicled Free Deep Inferior Epigastric Perforator Flap for the Coverage of Thigh Soft-Tissue Defect
title_sort double-pedicled free deep inferior epigastric perforator flap for the coverage of thigh soft-tissue defect
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585425/
https://www.ncbi.nlm.nih.gov/pubmed/28894652
http://dx.doi.org/10.1097/GOX.0000000000001372
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