Free microdissected thin groin flap design with an extended vascular pedicle

Plastic and Reconstructive Surgery
Naohiro Kimura, Masami Saitoh

Abstract

The senior author has developed a method of microdissection whereby a thin perforator flap can be elevated accurately in a single-stage procedure. Recently, the authors also applied the microdissection technique to the inguinal area and elevated microdissected thin groin flap. In preparation of the flap, the perforator penetrating the fascia of the sartorius muscle is initially detected suprafascially, and then the deep adipose and subfascial layer of the inguinal area is dissected using an operating microscope. After confirming the distribution of the blood vessels in this area, the flap is elevated while dissection is performed between the deep and superficial adipose layers. Six cases of scar contracture or skin defect by general burn, three cases of other types of traumatic tissue defects, and one case of skin loss at the donor site of an extended wraparound flap were successfully reconstructed with these new flaps. The uniform thinness and long vascular pedicle are distinctive characteristics of this flap compared with the traditional groin flap. Moreover, the buried vessels in the deep adipose layer and fascia can be confirmed by microdissection; this enables prediction of the safe area of the flap.

References

Jul 1, 1979·Plastic and Reconstructive Surgery·R D Acland
Oct 18, 2001·Plastic and Reconstructive Surgery·N KimuraT Ostuka
Dec 18, 2001·Plastic and Reconstructive Surgery·N KimuraK Satoh
Jan 12, 2002·Plastic and Reconstructive Surgery·Naohiro Kimura
Aug 15, 2003·Clinics in Plastic Surgery·Naohiro KimuraYoshiaki Hosaka
Dec 10, 2003·Plastic and Reconstructive Surgery·Naohiro KimuraYoshiaki Hosaka
Jan 7, 2004·Plastic and Reconstructive Surgery·Isao KoshimaTakahiko Moriguchi

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Citations

Dec 17, 2008·The Journal of Hand Surgery·Francisco del PiñalJavier Regalado
Dec 2, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Sing-Wing Poon, Fu-Chan Wei
Oct 24, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Naohiro KimuraYoshinori Itoh
Jun 10, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·W M RozenG I Taylor
Aug 8, 2008·Microsurgery·Martín IglesiasAlexandra Barajas-Olivas
Jul 4, 2015·Microsurgery·Wai-Nang ChaoShiuan-Chih Chen
Apr 17, 2016·Annales de chirurgie plastique et esthétique·S DastR Sinna
May 26, 2016·Journal of Plastic Surgery and Hand Surgery·Songlin XieZan Li
May 17, 2013·The Journal of Hand Surgery, European Volume·Z-H PanS Xue
Aug 19, 2017·Plastic and Reconstructive Surgery·Kyeong-Tae LeeGoo-Hyun Mun
Oct 21, 2016·Plastic and Reconstructive Surgery. Global Open·Joseph ChâteauAli Mojallal
Feb 11, 2015·Annals of Plastic Surgery·Wai-Nang ChaoShiuan-Chih Chen

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