Lazar C-C, Auquit-Auckbur I, Milliez P-Y
Unité de chirurgie plastique et reconstructrice-chirurgie de la main, centre hospitalo-universitaire Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France.
Ann Chir Plast Esthet. 2007 Apr;52(2):144-7. doi: 10.1016/j.anplas.2006.09.003. Epub 2006 Nov 29.
Plastic surgeons have sometimes to face large pelvic tissue defects, particularly in paraplegic patients with recurrent pressure sores. This is frequently a reconstructive challenge and different locoregional flaps may be useful to manage those wounds when medical solutions were unsuccessful. However, in cases when other reconstructive options have been exhausted the total thigh flap represents the last acceptable solution to cover the defects by providing a large volume of healthy tissue. We remind here the operative technique and its interest in reconstructive surgery by reporting our experience in two patients for which this flap was successfully used.
整形外科医生有时不得不面对大面积的盆腔组织缺损，尤其是在患有复发性压疮的截瘫患者中。这常常是一个重建方面的挑战，当保守治疗方法无效时，不同的局部皮瓣可能有助于处理这些伤口。然而，在其他重建选择都已用尽的情况下，全大腿皮瓣通过提供大量健康组织来覆盖缺损，是最后的可接受解决方案。在此，我们通过报告我们在两名成功使用该皮瓣的患者中的经验，来回顾其手术技术及其在重建手术中的价值。
