Hypothesis / aims of study Urogenital reconstructive techniques include perineal reconstruction, vaginoplasty, urethral reconstruction, and vesico-vaginal (VVF) and recto-vaginal fistula (RVF) repair. Many of these procedures require the use of local or distant flaps for reconstruction, of which the pudendal thigh fasciocutaneous perforator (PTF) flap is an option. We frequently use this flap f...

Free tissue transfer has been increasingly used in clinical practice since the 1970s, allowing reconstruction of complex and otherwise untreatable defects resulting from tumor extirpation, trauma, infections, malformations or burns. Free flaps are particularly useful for reconstructing highly complex anatomical regions, like those of the head and neck, the hand, the foot and the perineum. Moreo...

BACKGROUND The reconstruction of soft tissue defects of the elbow area (including antecubital fossa and peri-olecranon area) should be performed with the most appropriate soft tissue and functional rehabilitation immediately. METHODS Ten patients were included in this study. One had a brachial artery defect, another had postburn axillary contracture deformity, and a third had an ulnar bone bo...

BACKGROUND Traditional gluteus maximus myocutaneous flaps have generally been used to fill tissue defects after resection of sacrococcygeal pressure ulcers. However, postoperative complications were gradually revealed as increasing operations were performed. This study aimed to introduce the innovative application of gluteus maximus fasciocutaneous V-Y advancement flaps for repairing tissue def...

Background: Pressure ulcers are defined as lesions of ischemic etiology in the skin or soft tissue. These lesions are secondary to increased external pressure and usually occur over bony prominences. Classification of various stages of pressure ulcers is important for the development of therapeutic strategies. The fundamental surgical treatments are debridement and excision of underlying bursa ...

OBJECTIVE to discuss the participation of Plastic Surgery in the reconstruction of the chest wall, highlighting relevant aspects of interdisciplinaryness. METHODS we analyzed charts from 20 patients who underwent extensive resection of the thoracic integument, between 2000 and 2014, recording the indication of resection, the extent and depth of the raw areas, types of reconstructions performe...

background pilonidal disease is a common condition that affects younger people in which over half of the affected patients present with a sacrococcygeal abscess. this study was performed to compare the outcome of excision and primary closure with that of rhomboid excision and flap procedure in patients with uncomplicated pilo­nidal disease. methods a total of 90 consecutive patients with piloni...

DESCRIPTION A 23-year-old man sustained an open pilon fracture of the ankle. Fractures were plated. A week later the medial wound dehisced with plate exposure. Good local tissue coverage was not available and free tissue transfer reconstruction was contraindicated because of lack of suitable recipient vessels, as demonstrated by computed tomographic angiography.

The authors present their experience with the use of sural fasciocutaneous flaps for the treatment of various soft tissue defects in the lower limb. This paper is a review of these flaps carried out between 2003 and 2008. The series consists of 16 patients, 11 men and 5 women with an average age of 41 years (17-81) and with a follow-up period between 2 and 7 years. The etiology was major veloci...