PMID: 30024686Mar 1, 2016Paper

Application of the lobulated flap or unilobular flap pedicled with the descending branch of lateral femoral circumflex artery in reconstruction of defects resulted from perineal and hypogastric tumor resection

Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery
Xiujun TangDali Wang

Abstract

To summarize the clinical application of the lobulated flap or unilobular flap pedicled with the descending branch of lateral femoral circumflex artery in reconstruction of defects resulted from perineal and hypogastric tumor resection. From September 2010 to June 2014,according to the characteristics of the tissue defects after perineal or hypogastric tumor resection, and also based on the anatomical characteristics of the perforator artery which derived from the descending branch of lateral circumflex artery, unilobular skin flap or bilobulate skin flap was designed for one-stage reconstruction.7 males and 10 females, aged from 34 to 72 years old (average,56 years old), were included. There were 6 cases of dermatofibrosarcoma protuberance (DFSP),7 cases of squamous-cell carcinoma and 4 cases of Bowen disease. Tumors in 7 patients were located in hypogastrium and 10 in perineum. The defects size after tumor resection ranged from 3 cm × 4 cm to 8 cm × 16 cm. Among the patients,13 cases were treated with unilobular flaps, of which the area ranged from 6 cm × 10 cm to 13 cm × 18 cm;4 cases were treated with bilobular flaps, of which the area ranged from 3 cm ×5 cm to 8 cm ×12 cm.The wounds at donor sites were closed directly in 1...Continue Reading

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