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[The total thigh flap in reconstructive surgery].

C-C Lazar1, I Auquit-Auckbur, P-Y Milliez

  • 1Unité de chirurgie plastique et reconstructrice-chirurgie de la main, centre hospitalo-universitaire Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France. lazarcalin@yahoo.fr

Annales De Chirurgie Plastique Et Esthetique
|December 2, 2006
PubMed
Summary

The total thigh flap is a viable last resort for large pelvic tissue defects, especially in paraplegic patients with pressure sores, offering a significant volume of healthy tissue for reconstruction when other methods fail.

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Area of Science:

  • Reconstructive surgery
  • Plastic surgery
  • Tissue engineering

Background:

  • Large pelvic tissue defects pose significant reconstructive challenges, particularly in paraplegic individuals with recurrent pressure sores.
  • Conventional medical treatments and locoregional flaps may prove insufficient for managing extensive wounds.

Observation:

  • The total thigh flap is presented as a reconstructive option when all other surgical approaches have been exhausted.
  • This technique utilizes a large volume of healthy tissue to cover challenging defects.

Findings:

  • The study reports the successful application of the total thigh flap in two patients with large pelvic tissue defects.
  • The operative technique and its utility in reconstructive surgery were demonstrated.

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Implications:

  • The total thigh flap serves as a critical, albeit last-resort, solution for complex pelvic reconstructions.
  • This flap provides a valuable option for surgeons managing severe tissue loss in challenging patient populations.