Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement flaps
We present our experience with the use of local fasciocutaneous V-Y advancement flaps in the reconstruction of 10 axillae in 6 patients for large defects following wide excision of long-standing Hidradenitis suppurativa of the axilla. The defects were closed with local V-Y subcutaneous island flap...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2006-01-01
|
| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700454 |
| _version_ | 1819133023101124608 |
|---|---|
| author | Kumar Sharma Ramesh Mohan Kapoor Krishnan Singh Gurpreet |
| author_facet | Kumar Sharma Ramesh Mohan Kapoor Krishnan Singh Gurpreet |
| author_sort | Kumar Sharma Ramesh |
| collection | DOAJ |
| description | We present our experience with the use of local fasciocutaneous V-Y advancement flaps in the reconstruction of 10 axillae in 6 patients for large defects following wide excision of long-standing Hidradenitis suppurativa of the axilla. The defects were closed with local V-Y subcutaneous island flaps. A single flap from the chest wall was sufficient for moderate defects. However, for larger defects, an additional flap was taken from the medial side of the ipsilateral arm. The donor defects could be closed primarily in all the patients. The local areas of the lateral chest wall and the medial side of the arm have a plentiful supply of cutaneous perforators and the flaps can be designed in a V-Y fashion without resorting to preoperative marking of the perforator. The flaps were freed sufficiently to allow adequate movement for closure of the defects. Although no attempt was made to identify the perforators specifically, many perforators were seen entering the flap. Some perforators can be safely divided to increase reach of the flap. All the flaps survived completely. A follow up of 2.5 years is presented. |
| first_indexed | 2024-12-22T09:40:42Z |
| format | Article |
| id | doaj.art-87fa9738cfda4789addd15abdbb16316 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-22T09:40:42Z |
| publishDate | 2006-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-87fa9738cfda4789addd15abdbb163162022-12-21T18:30:41ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2006-01-013901182110.1055/s-0039-1700454Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement flapsKumar Sharma Ramesh0Mohan Kapoor Krishnan1Singh Gurpreet2Departments of Plastic SurgeryDepartments of Plastic SurgeryGeneral Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaWe present our experience with the use of local fasciocutaneous V-Y advancement flaps in the reconstruction of 10 axillae in 6 patients for large defects following wide excision of long-standing Hidradenitis suppurativa of the axilla. The defects were closed with local V-Y subcutaneous island flaps. A single flap from the chest wall was sufficient for moderate defects. However, for larger defects, an additional flap was taken from the medial side of the ipsilateral arm. The donor defects could be closed primarily in all the patients. The local areas of the lateral chest wall and the medial side of the arm have a plentiful supply of cutaneous perforators and the flaps can be designed in a V-Y fashion without resorting to preoperative marking of the perforator. The flaps were freed sufficiently to allow adequate movement for closure of the defects. Although no attempt was made to identify the perforators specifically, many perforators were seen entering the flap. Some perforators can be safely divided to increase reach of the flap. All the flaps survived completely. A follow up of 2.5 years is presented.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700454hidradenitis suppurativaaxillary full thickness skin defectsfasciocutaneous v-y flaplateral chest wallmedial arm |
| spellingShingle | Kumar Sharma Ramesh Mohan Kapoor Krishnan Singh Gurpreet Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement flaps Indian Journal of Plastic Surgery hidradenitis suppurativa axillary full thickness skin defects fasciocutaneous v-y flap lateral chest wall medial arm |
| title | Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement flaps |
| title_full | Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement flaps |
| title_fullStr | Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement flaps |
| title_full_unstemmed | Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement flaps |
| title_short | Reconstruction in extensive axillary Hidradenitis suppurativa with local fasciocutaneous V-Y advancement flaps |
| title_sort | reconstruction in extensive axillary hidradenitis suppurativa with local fasciocutaneous v y advancement flaps |
| topic | hidradenitis suppurativa axillary full thickness skin defects fasciocutaneous v-y flap lateral chest wall medial arm |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700454 |
| work_keys_str_mv | AT kumarsharmaramesh reconstructioninextensiveaxillaryhidradenitissuppurativawithlocalfasciocutaneousvyadvancementflaps AT mohankapoorkrishnan reconstructioninextensiveaxillaryhidradenitissuppurativawithlocalfasciocutaneousvyadvancementflaps AT singhgurpreet reconstructioninextensiveaxillaryhidradenitissuppurativawithlocalfasciocutaneousvyadvancementflaps |