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Case Reports
Microvascular myocutaneous flaps in the lumbosacral area using the iliac artery and vein as recipient vessels.
- P K Mustonen, M A Härmä, M H Berg, and M T Luukkonen.
- Department of Surgery, Kuopio University Hospital, Kuopio, Finland.
- Br J Plast Surg. 2002 Sep 1; 55 (6): 514-6.
AbstractLumbosacral tissue defects are usually closed with local flaps. Sometimes in large high-situated defects free microvascular flaps are used. However, finding a suitable recipient vessel for microvascular anastomosis in this region is difficult. In large soft-tissue defects high in the lumbar area, closure with a free flap using the iliac artery and vein as recipient vessels channelled from the pelvic cavity to the back through a drill canal in a bone presents an alternative option where other vessels are damaged by radiotherapy or infection. This has been used successfully in two cases.
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