Schlenker J D
Ann Plast Surg. 1980 Nov;5(5):353-7. doi: 10.1097/00000637-198011000-00004.
A method for constructing groin flaps is presented which the author has used successfully. The flap is elevated medial to the sartorius muscle. The lateral femoral cutaneous nerve is preserved. The muscular branch is carefully divided to avoid damage to the superficial circumflex iliac artery. Near the femoral artery, the important draining vein, which often diverges from the cutaneous artery, must be preserved. One side of the flap is cut longer than the other and diagonal closure of the donor site and the flap are performed. This diagonal closure increases the circumference of the tube at the base of the flap, thereby reducing the risk of vascular compression. Diagonal closure also produces a spiral in the tube. The direction of the spiral can be controlled to facilitate closure of defects on the palm or dorsum of the hand.
本文介绍了一种作者已成功应用的腹股沟皮瓣构建方法。皮瓣在缝匠肌内侧掀起。保留股外侧皮神经。小心分离肌肉分支以避免损伤旋髂浅动脉。在股动脉附近，必须保留通常与皮动脉分开走行的重要引流静脉。皮瓣的一侧切得比另一侧长，然后对供区和皮瓣进行斜向缝合。这种斜向缝合增加了皮瓣基部管状物的周长，从而降低了血管受压的风险。斜向缝合还会在管状物中形成螺旋。可以控制螺旋的方向，以便于闭合手掌或手背部的缺损。
