A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects
The keystone design perforator island flap can be utilized in the repair of trunk defects. A systematic review was carried out to identify the complication rates of the use of this flap to treat such defects. The MEDLINE, Embase, Cochrane Library, and PubMed Central databases were searched for artic...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2020-11-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.00094 |
| _version_ | 1817992255017844736 |
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| author | Irena Sakura Rini Alberta Jesslyn Gunardi Renate Parlene Marsaulina Teguh Aryandono Ishandono Dachlan Iwan Dwiprahasto |
| author_facet | Irena Sakura Rini Alberta Jesslyn Gunardi Renate Parlene Marsaulina Teguh Aryandono Ishandono Dachlan Iwan Dwiprahasto |
| author_sort | Irena Sakura Rini |
| collection | DOAJ |
| description | The keystone design perforator island flap can be utilized in the repair of trunk defects. A systematic review was carried out to identify the complication rates of the use of this flap to treat such defects. The MEDLINE, Embase, Cochrane Library, and PubMed Central databases were searched for articles published between January 2003 and December 2018 that reported the use of keystone design perforator island flaps in the repair of trunk defects. Study selection was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eight articles involving a total of 54 flaps satisfied the inclusion criteria. The most frequently reported cause of trunk defects was oncologic resection (64.4%). The overall complication rate was 35.2%, and complications included infection (11.1%), wound dehiscence (7.4%), delayed healing (7.4%), and partial flap loss (1.9%). The keystone design perforator island flap is associated with a high success rate and low technical complexity. Despite minor complications, keystone design flaps could be a preferred choice for trunk reconstruction. |
| first_indexed | 2024-04-14T01:24:00Z |
| format | Article |
| id | doaj.art-ea0eb54a83f847fd8b68c828ff4b3107 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-14T01:24:00Z |
| publishDate | 2020-11-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-ea0eb54a83f847fd8b68c828ff4b31072022-12-22T02:20:33ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712020-11-01470653554110.5999/aps.2020.000943784A systematic review of the keystone design perforator island flap in the reconstruction of trunk defectsIrena Sakura Rini0Alberta Jesslyn Gunardi1Renate Parlene Marsaulina2Teguh Aryandono3Ishandono Dachlan4Iwan Dwiprahasto5Department of Plastic Surgery, Dharmais Cancer Hospital, West Jakarta, IndonesiaDepartment of Plastic Surgery, Dharmais Cancer Hospital, West Jakarta, IndonesiaDepartment of Plastic Surgery, Dharmais Cancer Hospital, West Jakarta, IndonesiaDivisions of Oncology Surgery, Department of Surgery, Dr. Sardjito Hospital, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaDivisions of Plastic and Reconstructive Surgery, Department of Surgery, Dr. Sardjito Hospital, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Pharmacology and Therapy, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaThe keystone design perforator island flap can be utilized in the repair of trunk defects. A systematic review was carried out to identify the complication rates of the use of this flap to treat such defects. The MEDLINE, Embase, Cochrane Library, and PubMed Central databases were searched for articles published between January 2003 and December 2018 that reported the use of keystone design perforator island flaps in the repair of trunk defects. Study selection was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eight articles involving a total of 54 flaps satisfied the inclusion criteria. The most frequently reported cause of trunk defects was oncologic resection (64.4%). The overall complication rate was 35.2%, and complications included infection (11.1%), wound dehiscence (7.4%), delayed healing (7.4%), and partial flap loss (1.9%). The keystone design perforator island flap is associated with a high success rate and low technical complexity. Despite minor complications, keystone design flaps could be a preferred choice for trunk reconstruction.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.00094perforator flapreconstructive surgical procedurestorsosystematic review |
| spellingShingle | Irena Sakura Rini Alberta Jesslyn Gunardi Renate Parlene Marsaulina Teguh Aryandono Ishandono Dachlan Iwan Dwiprahasto A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects Archives of Plastic Surgery perforator flap reconstructive surgical procedures torso systematic review |
| title | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
| title_full | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
| title_fullStr | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
| title_full_unstemmed | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
| title_short | A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
| title_sort | systematic review of the keystone design perforator island flap in the reconstruction of trunk defects |
| topic | perforator flap reconstructive surgical procedures torso systematic review |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2020.00094 |
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