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A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects

The first description of simultaneous pelvic and abdominal soft-tissue reconstruction with a giant lower limb fillet flap after hip exarticulation and open abdomen is presented. The unfortunate circumstances of a 67-year-old female patient are described leading to soft-tissue necrosis over a peripro...

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Autores principales: Osinga, Rik, Nowakowski, Andrej, Isaak, Andrej, Schaefer, Dirk J., Fulco, Ilario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889435/
https://www.ncbi.nlm.nih.gov/pubmed/29632795
http://dx.doi.org/10.1097/GOX.0000000000001626
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author Osinga, Rik
Nowakowski, Andrej
Isaak, Andrej
Schaefer, Dirk J.
Fulco, Ilario
author_facet Osinga, Rik
Nowakowski, Andrej
Isaak, Andrej
Schaefer, Dirk J.
Fulco, Ilario
author_sort Osinga, Rik
collection PubMed
description The first description of simultaneous pelvic and abdominal soft-tissue reconstruction with a giant lower limb fillet flap after hip exarticulation and open abdomen is presented. The unfortunate circumstances of a 67-year-old female patient are described leading to soft-tissue necrosis over a periprosthetic femur fracture and open abdomen after emergency implantation of an aortic bifemoral Y-prosthesis because of thrombotic obliteration of the aortic bifurcation. After removal of the hip prosthesis, the neurovascular pedicled myocutaneous fillet flap of the entire left leg was raised and folded proximally at the level of the exarticulated joint of the hip and set into the pelvic and abdominal defect. A giant pedicled neurovascular myocutaneous fillet flap raised over the entire lower extremity is a safe, effective, durable, and sensation-preserving treatment to reconstruct combined pelvic and abdominal soft-tissue defects.
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spelling pubmed-58894352018-04-09 A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects Osinga, Rik Nowakowski, Andrej Isaak, Andrej Schaefer, Dirk J. Fulco, Ilario Plast Reconstr Surg Glob Open Case Report The first description of simultaneous pelvic and abdominal soft-tissue reconstruction with a giant lower limb fillet flap after hip exarticulation and open abdomen is presented. The unfortunate circumstances of a 67-year-old female patient are described leading to soft-tissue necrosis over a periprosthetic femur fracture and open abdomen after emergency implantation of an aortic bifemoral Y-prosthesis because of thrombotic obliteration of the aortic bifurcation. After removal of the hip prosthesis, the neurovascular pedicled myocutaneous fillet flap of the entire left leg was raised and folded proximally at the level of the exarticulated joint of the hip and set into the pelvic and abdominal defect. A giant pedicled neurovascular myocutaneous fillet flap raised over the entire lower extremity is a safe, effective, durable, and sensation-preserving treatment to reconstruct combined pelvic and abdominal soft-tissue defects. Wolters Kluwer Health 2017-12-22 /pmc/articles/PMC5889435/ /pubmed/29632795 http://dx.doi.org/10.1097/GOX.0000000000001626 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
Osinga, Rik
Nowakowski, Andrej
Isaak, Andrej
Schaefer, Dirk J.
Fulco, Ilario
A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects
title A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects
title_full A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects
title_fullStr A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects
title_full_unstemmed A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects
title_short A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects
title_sort giant neurovascular lower limb fillet flap can simultaneously cover pelvic and abdominal defects
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889435/
https://www.ncbi.nlm.nih.gov/pubmed/29632795
http://dx.doi.org/10.1097/GOX.0000000000001626
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