We report our technique for the repair of large pericardial defects resulting after intrapericardial pneumonectomy for locally advanced non-small cell lung carcinoma, using pedicled pleural flaps. Creation of a pedicled pleural flap, large enough to cover the pericardial defect, performing blunt dissection of parietal pleura from the inferior edge of the thoracotomy incision and suturing it in ...

BACKGROUND The abdomen remains a popular donor site for autologous tissue breast reconstruction. Recently, however, some authors have questioned whether the pedicled transverse rectus abdominis myocutaneous (TRAM) flap should remain a first-line reconstruction option. METHODS Between 1998 and 2009, 188 women underwent breast reconstruction with pedicled TRAM flaps by the senior author (J.A.A....

We performed a new procedure for reconstruction of donor site of a deltopectoral (DP) flap. A 58-year-old man presented with a wide subcutaneous abscess, which was caused by acute mandibular osteomyelitis due to dental caries. On admission, the patient received a neck incision for drainage. However, necrosis of the neck skin was observed after drainage. The patient had an 8 × 10 cm skin and sof...

The lateral nasal artery pedicled island flap for the reconstruction of moderately sized alar defects is described. By avoiding distortion of lower nasal landmarks through subperichondrial and subperiosteal dissection over the lateral nasal wall and dorsum, we were able to achieve satisfactory results with excellent color, texture, and symmetry matches in three patients over a 2-year period at ...

BACKGROUND Sarcomas, a heterogeneous group of tumors, are challenging to treat and require multidisciplinary cooperation and planning. We analyzed the efficacy of flap reconstruction in patients with bone and soft tissue sarcoma. METHODS Patient charts and operative records were retrospectively reviewed from January 2006 through October 2013 to identify sarcoma patient characteristics, postop...

Head and neck surgery has witnessed an increase in microvascular reconstructive procedures with free flaps over the last 20 years as they offer efficient functional recovery. Nevertheless, under certain circumstances they may be contraindicated or cannot be used. We present the use of supraclavicular pedicled flap in three patients with different recipient sites. All patients had acceptable fun...

The results of 25 cases underwent a pedicled pericardial flap coverage for the bronchial stump after lobectomy or pneumonectomy were compared with those of 25 patients who received no coverage for the bronchial stump. Operative and perioperative complications were recorded, and patients were followed up for a mean of 30 ± 15 days. The analysis revealed that the routine coverage of the bronchial...

OBJECTIVE To determine the reliability of pedicled latissimus dorsi flap for reconstruction of extensive defects around the elbow in terms of flap survival and coverage of exposed bones, vessels or nerves. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Plastic and Reconstructive Surgery at Shaikh Zayed Hospital, from February 2003 to January 2008. METHODOLOGY Patients...

Reconstruction of small dural defects is independent of which technique is used, and vascularized tissue does not appear to be critical. In contrast, large dural defects have been traditionally repaired using regional vascularized flaps, as they promote healing and diminish complications. Recently, novel regional vascularized flaps that do not require cutaneous incisions have been designed: nas...

The clinical case of a patient with a segmental humeral defect, in the context of an arthrogryposis congenita multiplex and morbid obesity, reconstructed with a pedicled segmental radial bone flap is reported. The use of the pedicled vascularized diaphyseal radial bone flap may be a useful technique for humerus reconstruction in patients with contraindication for microvascular bone transfers an...