[Repair of perineal and adjacent defects with thoracic biblical island flaps]
Zairong Wei1, Yuming Wang, Dali Wang
1Department of Plastics, Affiliated Hospital of Zunyi Medical College, Defects Repair Zunyi Guizhou, 563003, PR China.
Objective:
To report the experience of repairing perineal and adjacent defects with thoracic biblical island flaps.
Methods:
From January 1988 to October 2003, 7 cases of perineal and adjacent soft tissue defects with thoracic biblical island flaps, aged 17-52 years. Of 7 cases, there were 2 cases of severe scar contracture due to burn on perineal, 1 case of malignancy on perineal, 4 cases of vast soft tissue defects of trauma on the parts of groin and higher two-third thigh. The area of flaps was 9 cm x 27 cm-12 cm x 30 cm, the longest pedicle of blood vessel was 16 cm. The donor sites of flaps less than 10 cm could be sutured directly, the ones more than 10 cm could be repaired with skin grafting.
Results:
All the flaps primarily survived. There was no ischemia and necrosis at the distal part of flaps. Four patients were followed up 6 months to 6 years. The color, texture and appearance of the flaps were good. The functions of walk and squat were satisfactory.
Conclusion:
The thoracic biblical island flap can repair perineal and adjacent soft tissue defects, moreover the donor is hidden and the effect is ideal.
