Aesthetic Outcome After Reconstruction of Complex Soft Tissue Defects with Free Antero-Lateral Thigh Flap Using Simple Equipment
Journal of Surgery
Volume 3, Issue 2-1, March 2015, Pages: 36-41
Received: Feb. 7, 2015; Accepted: Feb. 13, 2015; Published: May 9, 2015
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Authors
Ashraf H. Abbas, Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt
Moustafa Elmasry, Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt and The Burn Centre Dept. of Hand and Plastic Surgery and, Dept. of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden
Ingrid Steinvall, Burn Centre Department of Hand and Plastic Surgery, Linköping University, Linköping, Sweden
Osama A. Adly, Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt
Mohamed A. Elbadawy, Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt
Taha Ali Moati, General Surgery department, Suez Canal University, Ismailia, Egypt
Folke Sjöberg, Burn Centre Depts. of Hand, Plastic Surgery and Intensive Care and Dept. of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden
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Abstract
Aim: We aimed to assess the aesthetic outcome of surgical reconstruction by free ALT flap using binocular single-refraction magnifying glasses and a modified post- operative surveillance protocol.Methods: 16 patients were operated for free antero-lateral thigh flap to reconstruct complex soft tissue defects with a close clinical follow up protocol for post operative care depending on the attending personnel in the Plastic surgery unit, Suez Canal University hospital, Ismailia, Egypt. Aesthetic outcome was assessed using a questionnaire based on Posch et al. 2005, including the following itemscolour, contour, presence of hair, overall appearance and donor site scar.Results:The patients’ assessed aesthetic outcome was acceptable in majority of the cases; median score was 4 for all assessed items. Complete flap loss occurred in one case, other complications as arterial thrombosis and hematomas and infection were detected and managed accordingly with flap salvage in the 3 complicated cases.Conclusion:The result suggests that the proposed protocol is sufficient as an alternative. The aesthetic outcome assessed by the patient and the failure rate was in line with other studies.
Keywords
Free Flap Surgery, Free Antero-Lateral Thigh Flap, Binocular Single Refraction Magnifying Glasses, Aesthetic Outcome
To cite this article
Ashraf H. Abbas, Moustafa Elmasry, Ingrid Steinvall, Osama A. Adly, Mohamed A. Elbadawy, Taha Ali Moati, Folke Sjöberg, Aesthetic Outcome After Reconstruction of Complex Soft Tissue Defects with Free Antero-Lateral Thigh Flap Using Simple Equipment, Journal of Surgery. Special Issue: Postoperative Pain Syndrome. Vol. 3, No. 2-1, 2015, pp. 36-41. doi: 10.11648/j.js.s.2015030201.18
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