Il lembo neurocutaneo surale a base distale nella ricostruzione dell’arto inferiore: nostra esperienza

Chiummariello, Stefano and Iera, Marco and Maffia, R. and Alfano, Carmine (2011) Il lembo neurocutaneo surale a base distale nella ricostruzione dell’arto inferiore: nostra esperienza. Il giornale di chirurgia, 32 (3). pp. 146-149. ISSN 1971-145X

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Abstract

Background. Our study concerns eight patients who have undergone surgery at the Department of Plastic, Reconstructive and Aesthetic Surgery of the University of Perugia, for the reconstruction of lower limb using the distally based sural neurocutaneous flap for covering loss of substance of various origin, from October 2007 to November 2009. Patients and methods. The aim of our study is to demonstrate the reliability of distally based neurocutaneous sural flap in reconstruction of lower limb following a loss of substance of different nature involving the lower third of the leg. Eight patients were on systemic and local clinical conditions that can not be undergoing surgery with use of free flap. In five patients (62%) the loss of substance had been caused by traffic accident while another patient (12%) had been the victim of an accident at work. Two patients (26%) had suffered from pressure ulcers and were unstable with regard to the vascularisation. Results. We observed no cases of total necrosis of the flap and in all eight patients we showed good healing. Follow up was 2, 4, 6, and 9 months after surgical intervention. Conclusion. Our study has shown that the use of the distally based sural neurocutaneous flap in reconstruction of lower limbs, as a salvage procedure, is still a valid alternative procedure to free tissue transfer. Because of reduced operative times, reduced anaesthetic risk, reduced risk of total flap necrosis and reduced costs, it could be considered as a preferable choice in selected cases.

Item Type:	Article
Uncontrolled Keywords:	Lembo neurocutaneo surale a base distale - Arto inferiore
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	29 Apr 2016 12:25
Last Modified:	29 Apr 2016 12:25
URI:	http://eprints.bice.rm.cnr.it/id/eprint/7397

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