Single-person Harvest of Anterolateral Thigh Flap Using Scalp Hooks

This study describes the benefits of using neurosurgical scalp hooks in harvesting an anterolateral thigh flap. Typically, scalp hooks retracting the surgical field are connected to cloth forceps with rubber bands, extending the surgical field to flat. A surgeon can use scalp hooks to retract multip...

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Bibliographic Details
Main Authors: Yasushi Mochizuki, Akiyoshi Kajikawa
Format: Article
Language:English
Published: Japan Society of Plastic and Reconstructive Surgery 2023-04-01
Series:Journal of Plastic and Reconstructive Surgery
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jprs/2/2/2_2022-0007/_pdf/-char/en
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author Yasushi Mochizuki
Akiyoshi Kajikawa
author_facet Yasushi Mochizuki
Akiyoshi Kajikawa
author_sort Yasushi Mochizuki
collection DOAJ
description This study describes the benefits of using neurosurgical scalp hooks in harvesting an anterolateral thigh flap. Typically, scalp hooks retracting the surgical field are connected to cloth forceps with rubber bands, extending the surgical field to flat. A surgeon can use scalp hooks to retract multiple arbitrary points in any direction by retracting them with their fingers. Thus, the expanded operative field is much flatter than that retracted with fingers. As the dissection progresses, the hooks can be adjusted to maintain flatness. This technique allows easy, single-person harvesting of various musculocutaneous or perforator flaps. Furthermore, assistant surgeons can concentrate on cooperating safely in the flat surgical field. Potential limitations include needlestick injury, compression of vascular pedicles with rubber bands, and clamping skin with cloth forceps.
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spelling doaj.art-5de6ff1239474681ab020834c7f10e4d2023-07-20T06:22:19ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2023-04-012273752022-0007Single-person Harvest of Anterolateral Thigh Flap Using Scalp HooksYasushi Mochizuki0Akiyoshi Kajikawa1Department of Plastic and Reconstructive Surgery, St. Marianna University School of MedicineDepartment of Plastic and Reconstructive Surgery, St. Marianna University School of MedicineThis study describes the benefits of using neurosurgical scalp hooks in harvesting an anterolateral thigh flap. Typically, scalp hooks retracting the surgical field are connected to cloth forceps with rubber bands, extending the surgical field to flat. A surgeon can use scalp hooks to retract multiple arbitrary points in any direction by retracting them with their fingers. Thus, the expanded operative field is much flatter than that retracted with fingers. As the dissection progresses, the hooks can be adjusted to maintain flatness. This technique allows easy, single-person harvesting of various musculocutaneous or perforator flaps. Furthermore, assistant surgeons can concentrate on cooperating safely in the flat surgical field. Potential limitations include needlestick injury, compression of vascular pedicles with rubber bands, and clamping skin with cloth forceps.https://www.jstage.jst.go.jp/article/jprs/2/2/2_2022-0007/_pdf/-char/enanterolateral thigh flapflap harvestscalp hook
spellingShingle Yasushi Mochizuki
Akiyoshi Kajikawa
Single-person Harvest of Anterolateral Thigh Flap Using Scalp Hooks
Journal of Plastic and Reconstructive Surgery
anterolateral thigh flap
flap harvest
scalp hook
title Single-person Harvest of Anterolateral Thigh Flap Using Scalp Hooks
title_full Single-person Harvest of Anterolateral Thigh Flap Using Scalp Hooks
title_fullStr Single-person Harvest of Anterolateral Thigh Flap Using Scalp Hooks
title_full_unstemmed Single-person Harvest of Anterolateral Thigh Flap Using Scalp Hooks
title_short Single-person Harvest of Anterolateral Thigh Flap Using Scalp Hooks
title_sort single person harvest of anterolateral thigh flap using scalp hooks
topic anterolateral thigh flap
flap harvest
scalp hook
url https://www.jstage.jst.go.jp/article/jprs/2/2/2_2022-0007/_pdf/-char/en
work_keys_str_mv AT yasushimochizuki singlepersonharvestofanterolateralthighflapusingscalphooks
AT akiyoshikajikawa singlepersonharvestofanterolateralthighflapusingscalphooks