Area enlargement of the gracilis muscle flap through microscopically aided intramuscular dissection: ideas and innovations

Microsurgery
Georg M HuemerM Ninkovic

Abstract

The gracilis muscle is one of the most extensively used muscles for free tissue transplantation. Its advantages are low donor-site morbidity with a concealed donor scar, a constant anatomy with large-diameter vessels, and the potential for a neurosensory flap as well as a large skin paddle. However, limitations comprise its limited size, and thus the muscle is limited to small-to-medium-sized defects. We present a novel technique by which the muscle can be enlarged 3-4 times over the regular muscle width. This can be achieved by microscopically aided intramuscular dissection of connective tissue with preservation of the intrinsic vessels of the muscle. With this technique, the field of application of the versatile gracilis muscle in reconstructive surgery can be further expanded.

References

Mar 1, 1976·Plastic and Reconstructive Surgery·K HariiJ Sekiguchi
Sep 1, 1995·British Journal of Plastic Surgery·J HolleA Alt
Feb 1, 1995·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M NinkovicH Anderl
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Dec 24, 1997·Journal of Reconstructive Microsurgery·M NinkovicH Anderl

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Citations

Mar 4, 2005·Microsurgery·Georg M HuemerThomas Schoeller
Jul 16, 2013·Annales de chirurgie plastique et esthétique·A PenaudJ Brilhault
Mar 26, 2013·Burns : Journal of the International Society for Burn Injuries·M MisaniW Boeckx
Oct 21, 2015·Frontiers in Surgery·Ole GoertzJonas Kolbenschlag
Jul 4, 2012·Journal of Plastic Surgery and Hand Surgery·Barbara Del FrariGottfried Wechselberger
Dec 16, 2016·The Journal of Craniofacial Surgery·Denis EhrlMilomir Ninkovic
Oct 8, 2017·Microsurgery·Paul Immanuel HeidekruegerPeter Niclas Broer
Aug 22, 2020·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Nicholas MöllhoffRiccardo E Giunta

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