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Related Concept Videos

Burn Injuries01:22

Burn Injuries

2.9K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.9K
Flail Chest-II01:26

Flail Chest-II

242
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
242

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Related Experiment Video

Updated: Sep 18, 2025

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
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In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

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Anterolateral Thigh Flap for Acute/Primary Burn Reconstruction.

Eva Verdaguer1, Antonio Bulla1, Jordi Serracanta1

  • 1Department of Plastic Surgery and Burn Center, Vall d'Hebron Barcelona Hospital Campus, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.

European Burn Journal
|June 25, 2025
PubMed
Summary

The anterolateral thigh (ALT) flap is a successful first option for primary burn reconstruction in microvascular free flap surgery. This study shows a high flap survival rate (96.6%) and manageable complications in burned patients.

Keywords:
ALT flapburn reconstructionburnsflap safetyfree flapmicrosurgery

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Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Burn Reconstruction

Background:

  • Free flap reconstruction in burn patients has specific indications to avoid common complications.
  • The anterolateral thigh (ALT) flap is proposed as a primary option for acute burn reconstruction.

Purpose of the Study:

  • To evaluate the efficacy and safety of the anterolateral thigh (ALT) flap for primary microvascular free flap reconstruction in burned patients.

Main Methods:

  • Retrospective review of 30 microvascular ALT free flap reconstructions in acutely burned patients (2005-2022).
  • Analysis of patient demographics, burn etiology, surgical timing, recipient sites, and flap outcomes.

Main Results:

  • Successful reconstruction in 30 patients with a 96.6% flap survival rate.
  • High-voltage electrical burns were the most common etiology; lower limb was the main recipient site.
  • Minor complications included peripheral flap necrosis (requiring skin graft), mild congestion, and local infection, all managed successfully.

Conclusions:

  • The anterolateral thigh (ALT) flap offers significant advantages for primary burn reconstruction in selected patients.
  • Adherence to specific surgical techniques and postoperative management is crucial for optimal outcomes.
  • The ALT flap is recommended as the preferred first option for free flap primary burn reconstruction.