On the inferior epigastric artery perforator flap repair of foot skin loss.docVIP

 PAGE \* MERGEFORMAT 9 On the inferior epigastric artery perforator flap repair of foot skin loss 【Papers Keywords: inferior epigastric artery perforator flap; transplantation; foot wound 【Abstract】 Objective: To evaluate the inferior epigastric artery perforator flap graft for repairing skin defects of foot and efficacy of the surgical method. Methods: 8 cases of skin defects of the foot in patients with abdominal wall were cut artery perforator flap graft repair wounds. Results: 8 flaps all survived, survived flap appearance, function better, flap donor tissue damage light. Conclusion: The inferior epigastric artery perforator flap graft for repair of foot hit areas face the destruction of small, damaged renewal satisfied with good effect. Free flap is a more commonly used in large area of skin defect of the method, the lower abdomen transverse inferior epigastric artery perforator branch (deep inferior epigastric perforator, DIEP) flap without rectus abdominis and the anterior sheath, containing only the skin, subcutaneous fat and vascular pedicle, with the advantages of the traditional flap, but also to avoid the occurrence of abdominal complications, while middle-aged women and obese people can play the role of abdominal plastic surgery is very promising flap. We call this flap for foot wound in 8 cases, are the literatures as follows. 1 Materials and Methods 1.1 General information: The group of 8 cases, 5 males and 3 females, aged 23 to 46 years old. 2 cases of skin defects of Achilles tendon exposed, six cases of skin defects of foot back bone exposed, the skin defect area 10 cm × 8 cm ~ 12 cm × 9 cm. Car accident injuries, 4 cases, 3 patients injured by stones, machinery and twisting injury in 1 case. 1.2 surgical method: According to the foot skin defects, generally required for the organization to determine the amount designed to inferior epigastric artery and vein as a pedicled deep inferior epiga