Clinical Applications of the Intercostal Artery Perforator Flap for Trunk Reconstruction
Background Trunk defects can occur because of surgical site infections after spinal surgery, resection of malignant tumors, or trauma. Herein, we present our experience of using intercostal artery perforator (ICAP) flaps to reconstruct trunk defects without noteworthy complications. Fourteen patient...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2023-05-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2058-7927 |
| _version_ | 1797815157333688320 |
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| author | Young Jun Kim Woo Young Choi Ji Seon Cheon Min Hyub Choi |
| author_facet | Young Jun Kim Woo Young Choi Ji Seon Cheon Min Hyub Choi |
| author_sort | Young Jun Kim |
| collection | DOAJ |
| description | Background Trunk defects can occur because of surgical site infections after spinal surgery, resection of malignant tumors, or trauma. Herein, we present our experience of using intercostal artery perforator (ICAP) flaps to reconstruct trunk defects without noteworthy complications. Fourteen patients underwent reconstruction with ICAP flaps between March 2015 and March 2019.
Methods Patients' data, including age, sex, the cause of the defect, defect size, perforator location, flap size, complications, and follow-up period, were retrospectively reviewed. The mean age of the patients was 56.5 years (range, 19–80 years). All operations were performed after the results of bacterial culture from the wound showed no microbial growth. We found reliable perforators around the defect using Doppler ultrasonography. The perforator flaps were elevated with a pulsatile perforator and rotated in a propeller fashion to the defects. We performed five dorsal and two lateral ICAP flaps. The mean flap dimensions were 12 × 5.5 cm2 (range, 6 × 5 to 18 × 8 cm2).
Results Primary closure of the donor site was performed. Marginal congestion was observed as a complication in one case, but it healed with no need for revision. The mean follow-up period was 8 months. All patients were satisfied with the surgical outcomes.
Conclusion ICAP flaps can be easily mobilized, thereby reducing donor site morbidity without sacrificing the underlying muscles for trunk reconstruction. Therefore, these flaps are useful options for the reconstruction of trunk defects. |
| first_indexed | 2024-03-13T08:18:32Z |
| format | Article |
| id | doaj.art-475ce1c72c5b4f0ba84aa0a44dee0c05 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-03-13T08:18:32Z |
| publishDate | 2023-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-475ce1c72c5b4f0ba84aa0a44dee0c052023-05-31T12:42:11ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712023-05-01500323323910.1055/a-2058-7927Clinical Applications of the Intercostal Artery Perforator Flap for Trunk ReconstructionYoung Jun Kim0Woo Young Choi1Ji Seon Cheon2Min Hyub Choi3Department of Plastic Reconstructive Surgery, Chosun University College of Medicine, Gwang-ju, South KoreaDepartment of Plastic Reconstructive Surgery, Chosun University College of Medicine, Gwang-ju, South KoreaDepartment of Plastic Reconstructive Surgery, Chosun University College of Medicine, Gwang-ju, South KoreaDepartment of Plastic Reconstructive Surgery, Chosun University College of Medicine, Gwang-ju, South KoreaBackground Trunk defects can occur because of surgical site infections after spinal surgery, resection of malignant tumors, or trauma. Herein, we present our experience of using intercostal artery perforator (ICAP) flaps to reconstruct trunk defects without noteworthy complications. Fourteen patients underwent reconstruction with ICAP flaps between March 2015 and March 2019. Methods Patients' data, including age, sex, the cause of the defect, defect size, perforator location, flap size, complications, and follow-up period, were retrospectively reviewed. The mean age of the patients was 56.5 years (range, 19–80 years). All operations were performed after the results of bacterial culture from the wound showed no microbial growth. We found reliable perforators around the defect using Doppler ultrasonography. The perforator flaps were elevated with a pulsatile perforator and rotated in a propeller fashion to the defects. We performed five dorsal and two lateral ICAP flaps. The mean flap dimensions were 12 × 5.5 cm2 (range, 6 × 5 to 18 × 8 cm2). Results Primary closure of the donor site was performed. Marginal congestion was observed as a complication in one case, but it healed with no need for revision. The mean follow-up period was 8 months. All patients were satisfied with the surgical outcomes. Conclusion ICAP flaps can be easily mobilized, thereby reducing donor site morbidity without sacrificing the underlying muscles for trunk reconstruction. Therefore, these flaps are useful options for the reconstruction of trunk defects.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2058-7927donor siteintercostal artery perforator flapreconstructiontrunk defects |
| spellingShingle | Young Jun Kim Woo Young Choi Ji Seon Cheon Min Hyub Choi Clinical Applications of the Intercostal Artery Perforator Flap for Trunk Reconstruction Archives of Plastic Surgery donor site intercostal artery perforator flap reconstruction trunk defects |
| title | Clinical Applications of the Intercostal Artery Perforator Flap for Trunk Reconstruction |
| title_full | Clinical Applications of the Intercostal Artery Perforator Flap for Trunk Reconstruction |
| title_fullStr | Clinical Applications of the Intercostal Artery Perforator Flap for Trunk Reconstruction |
| title_full_unstemmed | Clinical Applications of the Intercostal Artery Perforator Flap for Trunk Reconstruction |
| title_short | Clinical Applications of the Intercostal Artery Perforator Flap for Trunk Reconstruction |
| title_sort | clinical applications of the intercostal artery perforator flap for trunk reconstruction |
| topic | donor site intercostal artery perforator flap reconstruction trunk defects |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2058-7927 |
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