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The extended deep inferior epigastric flap: a case report
M A Tonkin1, M F Lai, P J Kennedy
1Repatriation General Hospital, Sydney, Australia.
British Journal of Plastic Surgery
|September 1, 1987
Summary
The extended deep inferior epigastric flap is a reliable method for lower limb defect coverage. This versatile technique successfully treated extensive thigh soft tissue loss from a shark bite, exposing the femoral shaft.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- The extended deep inferior epigastric flap (DIEP flap) is a well-established reconstructive technique.
- Lower limb defects often require complex soft tissue reconstruction.
Observation:
- A severe lower limb injury case involving extensive soft tissue loss in the thigh due to a shark bite was presented.
- The injury resulted in a denuded femoral shaft, posing a significant reconstructive challenge.
Findings:
- The extended deep inferior epigastric flap was successfully employed to cover the extensive thigh defect.
- This flap provided adequate tissue coverage for the exposed femoral shaft, facilitating limb salvage.
Implications:
- The extended DIEP flap demonstrates versatility and reliability in managing complex lower limb soft tissue defects.
- This case highlights the flap's efficacy in challenging scenarios, such as trauma with exposed bone.