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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...

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Autores principales: Rini, Irena Sakura, Gunardi, Alberta Jesslyn, Marsaulina, Renate Parlene, Aryandono, Teguh, Dachlan, Ishandono, Dwiprahasto, Iwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2020
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.
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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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