Comparative study between fasciocutaneous and myocutaneous flaps in the surgical treatment of pressure ulcers of the sacral region  D. Oksman, O.M. de.

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Presentation transcript:

Comparative study between fasciocutaneous and myocutaneous flaps in the surgical treatment of pressure ulcers of the sacral region  D. Oksman, O.M. de Almeida, R.G. de Arruda, M.L.M. de Almeida, F.S. do Carmo  JPRAS Open  Volume 16, Pages 50-60 (June 2018) DOI: 10.1016/j.jpra.2017.12.001 Copyright © 2017 The Author(s) Terms and Conditions

Figure 1 Fasciocutaneous flap markings. JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 2 (Incision and elevation of the fasciocutaneous flap). JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 3 Bilateral miocutaneous flap markings. JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 4 Result after bilateral miocutaneous flap advancement. JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 5 (Pre-operative case 1). JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 6 (Postoperative case 1). JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 7 (intra-operative case 2). JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 8 (postoperative case 2). JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 9 (pre-operative case 3). JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 10 (postoperative case 3). JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 11 (intra-operative case 4). JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 12 (postoperative case 4). JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 13 Partial necrosis of the fasciocutaneous bilaterally located flap. JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions

Figure 14 Postoperative with debridement of partial necrosis and resuture of the flap. JPRAS Open 2018 16, 50-60DOI: (10.1016/j.jpra.2017.12.001) Copyright © 2017 The Author(s) Terms and Conditions