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Aesthetic Outcome After Reconstruction of Complex SoftTissue Defects with Free Antero-Lateral Thigh Flap UsingSimple Equipment
Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery. Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt.
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2015 (English)In: Journal of surgery, ISSN 2330-0914, Vol. 3, no 2-1, 36-41 p.Article in journal (Refereed) Published
Abstract [en]

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 items colour, 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.

Place, publisher, year, edition, pages
Science publishing group , 2015. Vol. 3, no 2-1, 36-41 p.
Keyword [en]
Free Flap Surgery, Free Antero-Lateral Thigh Flap, Binocular Single Refraction Magnifying Glasses, Aesthetic Outcome
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-135751DOI: 10.11648/j.js.s.2015030201.18OAI: oai:DiVA.org:liu-135751DiVA: diva2:1082985
Available from: 2017-03-20 Created: 2017-03-20 Last updated: 2017-03-29Bibliographically approved

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Elmasry, MoustafaSteinvall, IngridSjöberg, Folke
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Division of Clinical SciencesFaculty of Medicine and Health SciencesDepartment of Hand and Plastic SurgeryDepartment of Anaesthesiology and Intensive Care in Linköping
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CiteExportLink to record
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Citation style
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