Preoperative assessment of anterolateral thigh flap cutaneous perforators by colour Doppler flowmetry H. Iida, I. Ohashi, S. Kishimoto, T. Umeda, Y.

Slides:

Advertisements

Similar presentations

Coverage of Thigh Ian Maxwell. Gastocnemius Flap Mathes and Nahai type I muscle flap Indications – Most commonly upper third of leg defects and knee Exposed.

Advertisements

Late salvage of a free TRAM flap R. Tse, D. Ross, B.S. Gan British Journal of Plastic Surgery Volume 56, Issue 1, Pages (January 2003) DOI: /S (02)

Cutaneous nerves of the thigh

Breast reconstruction by the free transverse gracilis (TUG) flap

Diabetic muscle infarction

Quadriceps Quiz.

The combined free partial vastus lateralis with anterolateral thigh perforator flap reconstruction of extensive composite defects N.A.S. Posch, M.A.M.

Anterior view of major muscles

Female genital cosmetic surgery – the future

S. Ghali, N. Bowman, U. Khan British Journal of Plastic Surgery

Fig. 3.(A) Vulvar cancer relapse inward toward the pelvis, after previous surgery and radiotherapy, showing chronic radiodermatitis of the perineal skin.

Dynamic reconstruction of complex abdominal wall defects with the pedicled innervated vastus lateralis and anterolateral thigh PIVA flap J.J. Vranckx,

The anatomic basis of the gracilis perforator flap

Vascular anatomy of the anteromedial thigh flap

The pyramidalis muscle free flap

S Grannum, MRCS, S Gwylim British Journal of Plastic Surgery

Prophylactic muscle flaps in vascular surgery

Posterior approach to the deep femoral artery

Yun-Ta Tsai, MD, Chien-Chang Chen, MD, Hung-I

R. Bracaglia, R. Fortunato, S. Gentileschi, L.M. La Rocca, I. Bruno

John C McGregor, Hilal Bahia British Journal of Plastic Surgery

Motor branch of the rectus femoris: anatomic location for selective motor branch block in stiff-legged gait 1 Duk Hyun Sung, MD, June-Yong Jung, MD,

Hyo Heon Kim, Jae-Ho Jeong, Yong Ha Kim, Jung Hyun Seul, Oog Jin Shon

Ajay L Mahajan, Ruchika Rajan, Padraic J Regan

Combined tongue flap and V–Y advancement flap for lower lip defects

Body contouring by combined abdominoplasty and medial vertical thigh reduction: experience of 14 cases M.G Ellabban, N.B Hart British Journal of Plastic.

Subcutaneous metallic mercury injection of the hand

B. Oelbrandt, P.J. Guelinckx, A. Nevelsteen

M. Schenker, S.P. Kelley, S.P.J. Kay

Recycling spare tissues: splitting a bipedicled TRAM flap for reconstruction of the contralateral breast M Rietjens, F De Lorenzi, P Veronesi, O Youssef,

Eugene Omakobia, Colin Liew, Natasha Berridge, Stefano Cotrufo

The combined free partial vastus lateralis with anterolateral thigh perforator flap reconstruction of extensive composite defects N.A.S. Posch, M.A.M.

Reconstruction of a wide abdominal defect using an extended groin flap

The gluteal perforator-based flap in repair of pressure sores

Raymond W. M. Ng, MD, FRCSE, FACS, George K. H. Li, MD, FRCSE, Jimmy Y

New nomenclature concept of perforator flap

Takafumi Chin, Rei Ogawa, Masahiro Murakami, Hiko Hyakusoku

Progressive spontaneous unilateral enlargement of the breast twenty-two years after prosthetic breast augmentation S. Roman, D. Perkins British Journal.

Anatomic location of a sensory nerve to the transverse upper gracilis (TUG) flap: A novel option for sensate autologous tissue reconstruction James Gatherwright,

T.M. Ylä-Kotola, M.S.C. Kauhanen, S.K. Koskinen, S.L. Asko-Seljavaara

Franco Stella, MD, PhD, Francesco Petrella, MD

The island pedicled anterolateral thigh (pALT) flap via the lateral subcutaneous tunnel for recurrent ischial ulcers E.H.J. Kua, C.H. Wong, S.W. Ng,

Rabbit Dissection Pics

Carotid artery replacement in conjunction with resection of squamous cell carcinoma of the neck: Preliminary results M.Kathleen Reilly, PhD, MD, Malcolm.

Imaging of the superficial inferior epigastric vascular anatomy and preoperative planning for the SIEA flap using MDCTA Eri Fukaya, Ryouhei Kuwatsuru,

Bradley B. Pua, MD, Bart E. Muhs, MD, Manish S. Parikh, MD, Patrick J

Earlobe reconstruction using a Limberg flap in six ears

The gastrocnemius with soleus bi-muscle flap

Jagdeep S. Chana, Fu-chan Wei British Journal of Plastic Surgery

Rectus femoris muscle flap based on proximal insertion mobilization to cover a groin infected vascular graft Luís Silvestre, MD, Luís Mendes Pedro, MD,

Early arising Marjolin's ulcer: report of three cases

The dissection of the rectus abdominis myocutaneous flap with complete preservation of the anterior rectus sheath D Erni, Y.D Harder British Journal.

Breast reconstruction by the free transverse gracilis (TUG) flap

S. Ghali, N. Bowman, U. Khan British Journal of Plastic Surgery

G.A Georgeu, N El-Muttardi British Journal of Plastic Surgery

Diabetic muscle infarction

N.S. Niranjan, S.M. Azad, A.N.M. Fleming, S.H. Liew

A.U. Akali, D.T. Sharpe British Journal of Plastic Surgery

Recurrent neuroma formation after lateral arm free flap coverage with neurorraphy to the posteroantebrachial nerve Steven L Peterson, Michael J Gordon

The antero-lateral thigh (ALT) flap: a pragmatic approach

Primary reconstruction of anterior neck burns with free flaps

Late salvage of a free TRAM flap

American Journal of Kidney Diseases

Dermographism improves clinical monitoring of free flaps

Mansoor S. Khan, Nick Kairinos, Michael Cadier

L.J. Treharne, P. Banwell, M. Cadier

Parotid haemangioma: an unusual presentation

Free deepithelialized anterolateral thigh myocutaneous flaps for chronic intractable empyema with bronchopleural fistula Feng-chou Tsai, MD, Hung-chi.

G. Dagregorio, V. Darsonval British Journal of Plastic Surgery

Ultrasonography-Guided Muscle Hematoma Evacuation

Presentation transcript:

Preoperative assessment of anterolateral thigh flap cutaneous perforators by colour Doppler flowmetry H. Iida, I. Ohashi, S. Kishimoto, T. Umeda, Y. Hata British Journal of Plastic Surgery Volume 56, Issue 1, Pages 21-25 (January 2003) DOI: 10.1016/S0007-1226(03)00018-3

Figure 1 Locations of cutaneous perforators identified by preoperative colour Doppler scanning; 48 perforators were found in 17 anterolateral thigh flaps (mean: 2.8 perforators per flap), and 83% were located in the middle third of the thigh. British Journal of Plastic Surgery 2003 56, 21-25DOI: (10.1016/S0007-1226(03)00018-3)

Figure 2 Colour signal of septocutaneous perforator located 24cm from the distal end of the thigh. It was running through the lateral intermuscular septum between the rectus femoris muscle and the vastus lateralis muscle. VL, vastus lateralis muscle; VI, vastus intermedius muscle; RF, rectus femoris muscle; F, fatty tissue. British Journal of Plastic Surgery 2003 56, 21-25DOI: (10.1016/S0007-1226(03)00018-3)

Figure 3 Colour signal of myocutaneous perforator located 17cm from the distal end of the thigh. The descending branch of the LCFA and the cutaneous perforator were running in the vastus lateralis muscle. VL, vastus lateralis muscle; VI, vastus intermedius muscle; F, fatty tissue. British Journal of Plastic Surgery 2003 56, 21-25DOI: (10.1016/S0007-1226(03)00018-3)

Figure 4 Intraoperative view of isolated cutaneous perforators in the left thigh. Three perforators were found at almost exactly the locations marked by preoperative colour Doppler scanning (arrows). VL, vastus lateralis muscle; RF, rectus femoris muscle. British Journal of Plastic Surgery 2003 56, 21-25DOI: (10.1016/S0007-1226(03)00018-3)

Figure 5 Anterolateral thigh flap combined with the vastus lateralis muscle. All three cutaneous perforators were included in the flap, as planned preoperatively. British Journal of Plastic Surgery 2003 56, 21-25DOI: (10.1016/S0007-1226(03)00018-3)