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A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects
The keystone design perforator island flap can be utilized in the repair of trunk defects. A systematic review was carried out to identify the complication rates of the use of this flap to treat such defects. The MEDLINE, Embase, Cochrane Library, and PubMed Central databases were searched for artic...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Plastic and Reconstructive Surgeons
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700866/ https://www.ncbi.nlm.nih.gov/pubmed/33238340 http://dx.doi.org/10.5999/aps.2020.00094 |
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author | Rini, Irena Sakura Gunardi, Alberta Jesslyn Marsaulina, Renate Parlene Aryandono, Teguh Dachlan, Ishandono Dwiprahasto, Iwan |
author_facet | Rini, Irena Sakura Gunardi, Alberta Jesslyn Marsaulina, Renate Parlene Aryandono, Teguh Dachlan, Ishandono Dwiprahasto, Iwan |
author_sort | Rini, Irena Sakura |
collection | PubMed |
description | The keystone design perforator island flap can be utilized in the repair of trunk defects. A systematic review was carried out to identify the complication rates of the use of this flap to treat such defects. The MEDLINE, Embase, Cochrane Library, and PubMed Central databases were searched for articles published between January 2003 and December 2018 that reported the use of keystone design perforator island flaps in the repair of trunk defects. Study selection was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eight articles involving a total of 54 flaps satisfied the inclusion criteria. The most frequently reported cause of trunk defects was oncologic resection (64.4%). The overall complication rate was 35.2%, and complications included infection (11.1%), wound dehiscence (7.4%), delayed healing (7.4%), and partial flap loss (1.9%). The keystone design perforator island flap is associated with a high success rate and low technical complexity. Despite minor complications, keystone design flaps could be a preferred choice for trunk reconstruction. |
format | Online Article Text |
id | pubmed-7700866 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society of Plastic and Reconstructive Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-77008662020-12-11 A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects Rini, Irena Sakura Gunardi, Alberta Jesslyn Marsaulina, Renate Parlene Aryandono, Teguh Dachlan, Ishandono Dwiprahasto, Iwan Arch Plast Surg Review Article The keystone design perforator island flap can be utilized in the repair of trunk defects. A systematic review was carried out to identify the complication rates of the use of this flap to treat such defects. The MEDLINE, Embase, Cochrane Library, and PubMed Central databases were searched for articles published between January 2003 and December 2018 that reported the use of keystone design perforator island flaps in the repair of trunk defects. Study selection was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eight articles involving a total of 54 flaps satisfied the inclusion criteria. The most frequently reported cause of trunk defects was oncologic resection (64.4%). The overall complication rate was 35.2%, and complications included infection (11.1%), wound dehiscence (7.4%), delayed healing (7.4%), and partial flap loss (1.9%). The keystone design perforator island flap is associated with a high success rate and low technical complexity. Despite minor complications, keystone design flaps could be a preferred choice for trunk reconstruction. Korean Society of Plastic and Reconstructive Surgeons 2020-11 2020-11-15 /pmc/articles/PMC7700866/ /pubmed/33238340 http://dx.doi.org/10.5999/aps.2020.00094 Text en Copyright © 2020 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Rini, Irena Sakura Gunardi, Alberta Jesslyn Marsaulina, Renate Parlene Aryandono, Teguh Dachlan, Ishandono Dwiprahasto, Iwan A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
title | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
title_full | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
title_fullStr | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
title_full_unstemmed | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
title_short | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
title_sort | systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700866/ https://www.ncbi.nlm.nih.gov/pubmed/33238340 http://dx.doi.org/10.5999/aps.2020.00094 |
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