A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects

Rik Osinga, MD; Andrej Nowakowski, MD, BSc, PhD; Andrej Isaak, MD; Dirk J. Schaefer, MD; Ilario Fulco, MD

doi:10.1097/GOX.0000000000001626

Plastic and Reconstructive Surgery, Global Open (Dec 2017)

A Giant Neurovascular Lower Limb Fillet Flap Can Simultaneously Cover Pelvic and Abdominal Defects

Rik Osinga, MD,
Andrej Nowakowski, MD, BSc, PhD,
Andrej Isaak, MD,
Dirk J. Schaefer, MD,
Ilario Fulco, MD

Affiliations

Rik Osinga, MD: From the *Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland; †Department of Orthopaedics and Trauma Surgery, University Hospital Basel, Basel, Switzerland; and ‡Vascular Surgery, Department of General Surgery, University Hospital Basel, Basel, Switzerland.
Andrej Nowakowski, MD, BSc, PhD: From the *Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland; †Department of Orthopaedics and Trauma Surgery, University Hospital Basel, Basel, Switzerland; and ‡Vascular Surgery, Department of General Surgery, University Hospital Basel, Basel, Switzerland.
Andrej Isaak, MD: From the *Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland; †Department of Orthopaedics and Trauma Surgery, University Hospital Basel, Basel, Switzerland; and ‡Vascular Surgery, Department of General Surgery, University Hospital Basel, Basel, Switzerland.
Dirk J. Schaefer, MD: From the *Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland; †Department of Orthopaedics and Trauma Surgery, University Hospital Basel, Basel, Switzerland; and ‡Vascular Surgery, Department of General Surgery, University Hospital Basel, Basel, Switzerland.
Ilario Fulco, MD: From the *Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland; †Department of Orthopaedics and Trauma Surgery, University Hospital Basel, Basel, Switzerland; and ‡Vascular Surgery, Department of General Surgery, University Hospital Basel, Basel, Switzerland.

DOI: https://doi.org/10.1097/GOX.0000000000001626
Journal volume & issue: Vol. 5, no. 12
p. e1626

Abstract

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Summary:. The first description of simultaneous pelvic and abdominal soft-tissue reconstruction with a giant lower limb fillet flap after hip exarticulation and open abdomen is presented. The unfortunate circumstances of a 67-year-old female patient are described leading to soft-tissue necrosis over a periprosthetic femur fracture and open abdomen after emergency implantation of an aortic bifemoral Y-prosthesis because of thrombotic obliteration of the aortic bifurcation. After removal of the hip prosthesis, the neurovascular pedicled myocutaneous fillet flap of the entire left leg was raised and folded proximally at the level of the exarticulated joint of the hip and set into the pelvic and abdominal defect. A giant pedicled neurovascular myocutaneous fillet flap raised over the entire lower extremity is a safe, effective, durable, and sensation-preserving treatment to reconstruct combined pelvic and abdominal soft-tissue defects.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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