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Updated: Mar 17, 2026
09:04
Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
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[Locoregional solutions for groin defects : Coverage after vascular surgery]
M Cerny1, Y Harder2, A Zimmermann3
1Klinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland. m.cerny@tum.de.
Summary
Plastic surgery offers solutions for groin defects after vascular surgery. Innovative flap techniques, like the ALT propeller and abdominal advancement flaps, successfully reconstructed complex wounds, improving healing outcomes.
Area of Science:
- Plastic Surgery
- Vascular Surgery
- Wound Healing
Background:
- Groin incisions in vascular surgery can lead to severe wound healing complications.
- Reconstruction options for groin defects vary based on patient vasculature.
- Compromised blood supply is a common challenge in these patients.
Observation:
- This study reviews plastic surgical approaches for complex groin defects post-vascular surgery.
- Two case reports detail the planning and execution of innovative flap reconstructions.
- The cases highlight the importance of considering individual vascular status.
Findings:
- Successful reconstruction was achieved using a pedicled fasciocutaneous ALT propeller flap.
- A perforator-based, pedicled abdominal advancement flap also effectively reconstructed the defect.
- Both methods ensured adequate blood supply and successful wound closure.
Implications:
- Surgical treatment for groin defects must be tailored to the patient's specific vascular condition.
- Considering less common flap options can optimize reconstruction and minimize postoperative complications.
- This approach aims to prevent healing disorders and infections in sensitive groin areas.
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