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Tailoring of ALT Flap for Optimizing Donor Site Morbidity
Soumya Kanti Bag1, Cinjini Das1
1Department of Plastic and Reconstructive Surgery, Medica Superspeciality Hospital, Kolkata, West Bengal, India.
Summary
This study introduces a novel technique for harvesting anterolateral thigh (ALT) flaps, enabling primary closure of donor sites. This method addresses challenges in reconstructing large trunk defects after tumor excision.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Surgical Oncology
Background:
- Wide local excision of tumors often results in large, irregular defects, particularly in the lower trunk.
- The pedicled anterolateral thigh (ALT) perforator flap is a common solution for these defects.
- Primary closure of ALT flap donor sites is frequently impossible due to flap size and shape requirements.
Observation:
- Harvesting the ALT flap in an elliptical shape.
- Dividing the flap into geometrically predesigned islands based on perforator vessels.
- Rearranging these islands to precisely fit the defect.
Findings:
- The proposed technique allows for the harvesting of ALT flaps in a shape that facilitates primary donor site closure.
- This method optimizes the use of the ALT flap for complex trunk defect reconstruction.
- Successful primary closure of the donor site was achieved, reducing secondary procedures.
Implications:
- This technique offers a valuable solution for managing donor site morbidity in ALT flap reconstructions.
- It enhances reconstructive options for patients with extensive defects following tumor removal.
- Improved patient outcomes through single-stage reconstruction and reduced complications are anticipated.
