Orozco-Villaseñor H, Ávila-Macías Z

Language: Spanish
References: 11
Page: 27-33
PDF size: 1052.50 Kb.

ABSTRACT

Complex body defects may result from severe trauma, cancer surgery or destructive infections, increasing the challenge for the plastic surgeon. Before the development of reconstructive microsurgery most defects were treated by local flaps, skin grafts or even secondary healing, however these techniques often resulted in severe scar retraction leading to movement limitation associated with poor aesthetic results. Moreover, defects involving skin, fascia, muscle, nerves or even bone often resulted in limb loss and severe deformity. The aim of this article is to present the current trends in complex body defects reconstruction. Improvement in microdissection and microanastomosis techniques lead to the possibility of free transfer of compound tissue, allowing complex defect reconstruction with whole skin distant tissue including muscle and bone. Now, complete layers of skin, fat and fascia from the thigh constitutes some of the best options for reconstructing distant defects as well as entire scalp by using adjacent vessels for the anastomosis.

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