Veselý J, Procházka V, Válka J, Mrázek T, Santi P, Bertino P
Institute for Traumatology, Brno, Italy.
Acta Chir Plast. 1994;36(4):99-103.
In the studied series of 167 free transfer two microsurgical flaps in one stage surgery were used in six cases. Two times latissimus + fibula in extensive defects of the tibia and soft tissues of the shin, two times forearm+forearm in isolated defects of the feet, in one case TRAMF + TRAMF for the reconstruction of both breasts and in one case of reconstruction of the penis and the urethra in a transsexual female to male. In this case three flaps were used--pedunculated rectus abdominis muscle and LAF for the reconstruction of the urethra and a sensitive flap from the forearm for the cover of both preceding flaps. The healing of all flaps was satisfactory and individual case records are described in detail and discussed.
在研究的167例游离组织移植系列中，6例在一期手术中使用了两个显微外科皮瓣。2例在胫骨和小腿软组织广泛缺损时采用背阔肌 + 腓骨皮瓣，2例在足部孤立缺损时采用前臂 + 前臂皮瓣，1例采用横行腹直肌肌皮瓣（TRAMF）+ 横行腹直肌肌皮瓣重建双侧乳房，1例为变性女性转男性时重建阴茎和尿道。在此病例中使用了三个皮瓣——带蒂腹直肌和背阔肌肌皮瓣重建尿道，前臂的一个感觉皮瓣覆盖前两个皮瓣。所有皮瓣愈合情况良好，详细描述并讨论了各个病例记录。
