What is rotational flap surgery?
The rotation flap is a classic method of tissue rearrangement. It is a simple yet effective tool for recruiting tissue from areas of laxity and redirecting vectors of tension to reconstruct wounds not amenable to primary closure.
When do you use the rotational flap?
Rotation flaps are particularly useful when the proposed donor site of the flap is the lateral aspect of the face. These flaps are advantageous because they have a particularly wide base and thus an excellent blood supply.
What is island flap?
An island flap is incised on all borders so that there are no cutaneous attachments between the skin of the flap and the adjacent skin of the donor site. This creates an island of skin, which constitutes the flap.
What is transposition flap?
Transposition Flaps A transposition flap is a random pattern flap that borrows skin laxity from an adjacent area in order to fill a defect in an area with little or no skin laxity and, in the process, redirects the vectors of tension during closure.
What is the difference between a skin graft and a flap?
A graft is just the skin without a blood supply, whereas a flap is transferred with its blood supply intact. With a flap, larger amounts of tissue can be used, including muscle if required. Some reconstructions need both a flap and a graft.
What is a free flap reconstruction?
What is free flap reconstruction surgery? “Free flap,” also known as “free tissue transfer,” is a term for a procedure in which tissue and its blood supply (artery and vein) are surgically removed from one part of the body and transferred to another area of the body for the purpose of reconstruction.
What happens after advancement flap surgery?
What should I expect during my recovery? You may experience some bleeding from your back passage, especially when you have your bowels opened. This is normal and should settle about two weeks after your surgery. However, if this becomes too much or you are worried, please telephone TAU for some advice.
How long does it take to heal from flap surgery?
It can take about 6 to 8 weeks to recover from DIEP flap reconstruction surgery. Your doctor may recommend that you wear a compression girdle for up to 8 weeks after surgery.
Is the gluteal fasciocutaneous flap used for sacral pressure sores?
The sacral region is one of the most frequent sites of pressure sore development, and local flaps in the gluteal region are usually preferred when surgical closure is needed. The authors used the gluteal fasciocutaneous rotation-advancement flap with V-Y closure to manage sacral pressure sores in 15 …
What is the role of the buttock rotation flap in skin closure?
The buttock rotation flap was used for skin closure. Methods: Eight patients who underwent APR for low rectal (n = 5) and anal (n = 3) carcinomas had immediate reconstruction with the gluteal muscle and buttock fascio-cutaneous rotation flap. The size of the perineal defects ranged from 5 × 7 to 13 × 9 cm.
Can a V-Y flap be converted to a fasciocutaneous flap?
This flap can also be converted to any design of fasciocutaneous or musculocutaneous V-Y advancement flap, should such a change be required. The largest defects that were closed with a unilateral rotationadvancement flap and bilateral rotation-advancement flaps were 12 and 18 cm in diameter, respectively.
Can Fr flap be performed without microsurgical dissection?
Gluteal FR flap can be performed without microsurgical dissection, and re-rotation is feasible in recurrent cases. The authors suggest using gluteal FR flaps in patients with a high risk of sore recurrence.