Hacı Ömer SAĞIR, Kahraman Berkhan YILMAZ, Ufuk NALBANTOĞLU

Üst Ekstemite Doku Defektlerinin Rekonstrüksiyonunda Eski Fakat Etkili Bir Flep: Kasık Flebi

Kasık flebi, pediküllü veya serbest olarak kullanılabilen bir aksiyel fleptir ve pedikülü yüzeyel sirkümfleks iliak arterdir. Değişken vasküler anatomisi ve kalibrasyonu gibi dezavantajlarının olmasına rağmen aksiyel paterne sahip olması nedeniyle dolaşımının güvenilir olması, donör alan morbiditesinin az olması, kalınlığının uygun olması ve nispeten kılsız olması nedeniyle bir çok avantajı olan bir fleptir. Pediküllü flepler üst ekstremite yumuşak doku defektleri rekonstrüksiyonunda alternatif bir fleplerdir. Pediküllü kasık flebi vital yapıların açıkta olduğu ve serbest doku nakli için alıcı damar sorunu olan üst ekstremite yumuşak doku defektlerinde yukardaki avantajlarından dolayı önemli bir yere sahiptir. Bu olgu sunumumuzda üst ekstremitesinde vital yapıların ekspoze olduğu, serbest doku nakli için alıcı damar sorunu olan 2 hastada, pediküllü kasık flebi ile doku defektlerinin rekonstrüksiyonu sunulacaktır

Old But Efficacious Flap For Reconstruction of Tissue Defects of The Upper Limbs: Groin Flap

The groin flap is an axial flap which can be used for pedicled or free tissue transfer. Its vascular supply comes via the superficial circumflex iliac artery. Although it has the disadvantages of variable vascular anatomy and small pedicle calibration, there are many advantages such as: reliable circulation because of its axial pattern , lack of donor site morbidity, appropriate thickness, and being relatively hairless. Pedicled flaps are alternative flaps for reconstruction of upper extremity soft tissue defects, for which free tissue transfer is not preferable due to vascular problems. In this paper we present two cases of soft tissue defects and recipient vascular problems for free tissue transfer on the upper extremities, which were reconstructed with pedicled groin flaps

Keywords:

groin flap, upper extremity,

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McGregor IA, Jackson IT. The groin flap. Br J Plast Surg. 25:3-16.1972.

Lister, G.D., Mc Gregor, I.A., and Jackson I.T. The groin flap in hand injuries. İnjury 4:299,1973.

Wood, J. Case of extreme deformity of neck and forearm from the cicatrices of the burn cured by extension, excision and transplantation of skin, adjacent and remote Medico-chir Trans 46:149,1863.

Boo- Chai, khoo John wood and his first contribution to plastic surgery. The first groin flap Br. J. Plast Surg 30:9,1999.

Shaw D.T. Open abdominal flaps for repair of surface defect of the upper extremity. Surg. Clin. North Am 24:293,1944.

Shaw D.T., and Payne, R.L. One stage tubed abdominal flaps: Single pedicle tubes. Surg. Gynecol. Obstet. 83: 205,1946.

O’Brien, B. M., Mcleod, A.M., Hayhurst, J. W., et al. Succesfull transfers of a large ısland flap from the groin to the foot by microvasculer anastomoses Plast. Reconstr. Surg. 52:271,1973.

Daniel R.K., and Terzis, J.K. Free,tissue transfer by microvasculer anastomoses. İn Daniel R.K., and Terzis, J.K. Reconstructive Microsurgery. Boston: Little, Brown 1977. Pp. 214-221.

Chow J.A., Bilos, Z.J., Hui, P., Hall, R.E. Seyfer, A.E., and Smith A.C.The groin flap in reparative surgery of the hand. Plast. Reconstr. Surg.77:421, 1986.

Wood, M. B., and İron, G. B.Upper-extremity free skin flap transfer: Result and utility as compared with conventional distant pedicle skin flap. Ann. Plast. Surg. 11:523,1983.

Naohiro Kimura, M.D. Masami Saitoh, M.D. Free Microdissected Thin Groin Flap Design with an Extended Vascular Pedicle. Plast. Reconstr. Surg. 117:986,2006.

Michel Saint-Cyr, M.D. Corrine Wong, M.R.C.S. The Split Pedicle Groin Flap: New Refinement in Groin Flap Application and Technique for Combined Thumb and Dorsal Hand Defects. Plastic and Reconstructive Surgery Volume 129, Number 2, February 2012.