Microvascular myocutaneous flaps in the lumbosacral area using the iliac artery and vein as recipient vessels

Lumbosacral tissue defects are usually closed with local flaps. Sometimes in large high-situated defects free microvascular flaps are used. However, finding a suitable recipient vessel for microvascular anastomosis in this region is difficult. In large soft-tissue defects high in the lumbar area, cl...

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Bibliographic Details
Published in:British journal of plastic surgery 2002-09, Vol.55 (6), p.514-516
Main Authors: Mustonen, Paula Katriina, Härmä, Markku Antero, Berg, Marja Helena, Luukkonen, Matti Tapani
Format: Article
Language:English
Subjects:
Arteriovenous Shunt, Surgical - methods
Biological and medical sciences
Child, Preschool
Dermatology
Female
free flap
Humans
Iliac Artery - surgery
Iliac Vein - surgery
Intervertebral Disc Displacement - diagnostic imaging
Intervertebral Disc Displacement - surgery
lumbar area
Lumbosacral Region
Male
Medical sciences
Microcirculation
microvascular
Middle Aged
recipient vessel
Rhabdomyosarcoma - diagnostic imaging
Rhabdomyosarcoma - surgery
Skin involvement in other diseases. Miscellaneous. General aspects
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps - blood supply
Tomography, X-Ray Computed
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Description
Summary:Lumbosacral tissue defects are usually closed with local flaps. Sometimes in large high-situated defects free microvascular flaps are used. However, finding a suitable recipient vessel for microvascular anastomosis in this region is difficult. In large soft-tissue defects high in the lumbar area, closure with a free flap using the iliac artery and vein as recipient vessels channelled from the pelvic cavity to the back through a drill canal in a bone presents an alternative option where other vessels are damaged by radiotherapy or infection. This has been used successfully in two cases.
ISSN:0007-1226
1465-3087
DOI:10.1054/bjps.2002.3904