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Related Experiment Videos

Bilateral, extended V-Y advancement flap.

M G Ulusoy1, I M Akan, O Sensöz

  • 1Department of Plastic & Reconstructive Surgery, Ankara Numune Hospital, Turkey.

Annals of Plastic Surgery
|February 24, 2001
PubMed
Summary

This study introduces an extended bilateral V-Y advancement flap technique to effectively close large circular skin defects. The modified flap reduces tension and avoids a prominent midline scar, improving patient outcomes for pressure sores.

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Area of Science:

  • Plastic Surgery
  • Wound Healing
  • Reconstructive Surgery

Background:

  • Circular skin defects, particularly those from pressure sores, pose reconstructive challenges.
  • Standard V-Y advancement flaps may result in significant tension and undesirable midline scars.
  • Minimizing tension and scar visibility is crucial for successful reconstruction and patient satisfaction.

Purpose of the Study:

  • To present a modified V-Y advancement flap technique for closing circular skin defects.
  • To reduce tension during wound closure.
  • To avoid a straight midline scar by creating a zigzag closure.

Main Methods:

  • A modified technique using bilateral, extended V-Y advancement flaps with additional hinged transpositional limbs was developed.

Related Experiment Videos

  • The flaps were advanced on a subcutaneous pedicle, with extensions closing the central defect.
  • The procedure was applied to 10 patients with sacral and trochanteric pressure sores.

    • Main Results:

    • The modified bilateral, extended V-Y advancement flaps successfully reconstructed large circular defects in all 10 patients.
    • No complications or recurrences were observed during a follow-up period of 2 to 10 months.
    • The technique effectively minimized tension at the closure site and resulted in a zigzag scar line.

    Conclusions:

    • Bilateral, extended V-Y advancement flaps offer a viable solution for reconstructing large circular defects.
    • This method significantly reduces tension, preventing complications associated with wound closure.
    • The resulting zigzag scar is aesthetically preferable to a straight midline scar, enhancing reconstructive outcomes.