Aesthetic use of recycled perforator flaps to correct contour deformities during abdominoplasty procedures.

IF 0.5 4区 医学 Q4 SURGERY
B Brunetti, M Morelli Coppola, C P Mureddu, V Petrucci, S Tenna, M Barone, P Persichetti
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引用次数: 0

Abstract

Introduction: Pedicled perforator flaps can be used not only in reconstructive scenarios but also for aesthetic purposes, thereby enhancing both the aesthetics and functionality of the treated area. The authors present two representative cases demonstrating an innovative indication for correcting contour deformities using de-epithelialized perforator flaps recycled from abdominoplasty excision patterns.

Case reports: Two patients presented with abdominal skin redundancy and contour deformities due to previous surgeries. The first patient, with a history of bladder exstrophy, underwent a fleur-de-lys abdominoplasty, with the soft tissue deficiency in the pubic region corrected using two DIEP flaps. The second patient, with a history of multiple surgeries for bilateral congenital hip dislocation, presented with retracted scars at the groins, which were corrected with bilateral SCIP flaps, harvested during a conventional abdominoplasty. The post-operative course was uneventful, and both patients reported a significant improvement in their perception of the operated regions according to the BODY-Q administered before and one year after surgery.

Conclusion: Perforator flaps recycled from abdominoplasty excision patterns may represent a reliable tool for correcting contour deformities during abdominoplasty procedures. This initial experience should be considered before sacrificing tissues that could potentially be better employed otherwise in order to optimize the morpho-functional outcomes in abdominal contour surgery.

Level of evidence: IV.

在腹部成形术过程中,美观地使用再生穿支皮瓣来纠正轮廓畸形。
带蒂穿支皮瓣不仅可以用于重建场景,还可以用于美学目的,从而增强治疗区域的美学和功能。作者提出了两个具有代表性的案例,展示了使用从腹部成形术切除模式中回收的去上皮化穿支皮瓣纠正轮廓畸形的创新指征。病例报告:2例患者出现腹部皮肤冗余和轮廓畸形,由于以前的手术。第一位患者有膀胱外翻史,接受了腹部百合花成形术,并用两个DIEP皮瓣矫正了阴部软组织缺损。第二例患者因双侧先天性髋关节脱位进行过多次手术,腹股沟处出现回缩疤痕,在常规腹部成形术中获得双侧SCIP皮瓣矫正。术后过程平淡无奇,根据术前和术后一年给药的BODY-Q,两名患者对手术区域的感知都有显著改善。结论:腹成形术切除后再循环的穿支皮瓣可能是纠正腹成形术中轮廓畸形的可靠工具。为了优化腹部轮廓手术的形态功能结果,在牺牲可能更好利用的组织之前,应该考虑这种初始经验。证据等级:四级。
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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
86
审稿时长
44 days
期刊介绍: Qu''elle soit réparatrice après un traumatisme, pratiquée à la suite d''une malformation ou motivée par la gêne psychologique dans la vie du patient, la chirurgie plastique et esthétique touche toutes les parties du corps humain et concerne une large communauté de chirurgiens spécialisés. Organe de la Société française de chirurgie plastique reconstructrice et esthétique, la revue publie 6 fois par an des éditoriaux, des mémoires originaux, des notes techniques, des faits cliniques, des actualités chirurgicales, des revues générales, des notes brèves, des lettres à la rédaction. Sont également présentés des analyses d''articles et d''ouvrages, des comptes rendus de colloques, des informations professionnelles et un agenda des manifestations de la spécialité.
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