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Perforator based V-Y advancement flaps in the leg
V Venkataramakrishnan1, D Mohan, O Villafane
1Department of Plastic Surgery, Kingston General Hospital, Hull, UK.
British Journal of Plastic Surgery
|December 16, 1998
Summary
This study showcases V-Y advancement flaps for resurfacing leg defects after malignant skin lesion excision. These fasciocutaneous flaps offer enhanced mobility, reliability, and improved cosmetic outcomes with minimal patient morbidity.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Malignant skin lesions on the leg require surgical excision, often resulting in defects needing reconstruction.
- Traditional reconstruction methods may have limitations in terms of mobility, reliability, or cosmetic outcome.
Purpose of the Study:
- To evaluate the efficacy of V-Y advancement flaps for resurfacing defects after excision of malignant skin lesions on the leg.
- To assess the mobility, reliability, and cosmetic results of this reconstructive technique.
Main Methods:
- Retrospective review of 18 patients undergoing excision of leg malignant skin lesions.
- Reconstruction of defects using V-Y advancement flaps, raised as fasciocutaneous flaps based on leg perforators.
- Early patient mobilization post-operation.
Main Results:
- V-Y advancement flaps demonstrated enhanced mobility and reliability.
- Minimal postoperative morbidity was observed due to early patient mobilization.
- The technique resulted in favorable cosmetic outcomes with no significant donor site defects.
Conclusions:
- V-Y advancement fasciocutaneous flaps are a reliable and effective method for reconstructing leg defects after malignant skin lesion excision.
- This technique offers improved cosmesis and patient recovery.
- The flap's design enhances its clinical utility in leg reconstruction.