J Surg Tech Proced | Volume 5, Issue 1 | Research Article | Open Access

De-epithelialized Perforator Based Turnover Flap for Reconstruction of Lower Limb Defects

Vijay Yashpal Bhatia^1*, Pranav Chandrashekhar Thusay², Pradnya Desai Sarwade², Kena Mahesh Patel² and Sruja Dipakbhai Narola²

¹Department of General Surgery, Sterling Hospitals, India ²Department of General Surgery, SVP Hospital, India

^*Correspondance to: Vijay Yashpal Bhatia 

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Abstract

Lower limbs defects provide us with unique challenge in terms of soft tissue coverage. The definitive decision for flap coverage ultimately requires sound knowledge about the vascular anatomy of lower limb vessels, their branches and perforator vessels. The authors report a case series of a total 20 patients who underwent de-epithelialized perforator based turnover flap over a period of 3 years. Out of these, 16 were males and 4 were females. Out of the 20 patients, 4 patients developed complications in terms of flap loss, partial flap retraction and partial graft loss. The authors thus conclude that with the reconstructive advantages, the de-epithelialized perforator based turnover flap which is a modification of random pattern turnover flap is a simple, reliable and can be considered even a first line option in management of defects of lower limb.

Keywords:

De-epithelialized; Perforator flap; Turnover flap; Lower leg defects

Citation:

Bhatia VY, Thusay PC, Sarwade PD, Patel KM, Narola SD. De-epithelialized Perforator Based Turnover Flap for Reconstruction of Lower Limb Defects. J Surg Tech Proced. 2021;5(1):1043..