What is a tubed pedicle flap?

A walking-stalk skin flap or waltzing tube pedicle is a reconstructive technique in which the skin and soft tissue to be used for the flap is formed into a tubular pedicle and moved from the source to the target site by anchoring at both ends, periodically severing one end and anchoring it closer to the flap target …

How long does it take for a skin flap to heal?

Keeping the site moist with the above procedures will hasten healing and provide you with the nicest scar possible. Do not wear make up over the incisions or flap until the sutures are removed (or have dissolved), and a thin layer of new skin covers the area. This usually takes 7 to 10 days.

What causes flap necrosis?

Skin flap necrosis is caused by a lack of blood and oxygen to the tissue and may be evident by the 2nd to 4th day following surgery. It often shows as an area of darkness or blood-stained blister on the leading edge of the flap. A doctor or wound care specialist evaluation is required to identify it.

How did the tube pedicle work?

The tube pedicle produced a “mask” of skin grafted across his face and eyes, producing new eyelids. The results, although far from perfect, meant that he had a face once again. Gillies went on to repeat the same sort of procedure on thousands of others.

Who invented the tubed pedicle?

41: 169, 1918). Bir,-In various medical papers Major H. D. Gillies lays great importance to the discovery of the tubed pedicle. He claims in the Journal of Surgery, Gynaecology, and Obstetrics, February, 1920, to use his own words, “that he propounded the method in September, 1917.”

Is flap surgery painful?

Most patients experience some discomfort after a flap procedure. Depending on your needs, we may prescribe pain medication or recommend over-the-counter medicine. It is important to relax after surgery, as strenuous activity may cause the treated area to bleed.

Does a flap of skin need stitches?

Lacerations, punctures, and incisions are all suturable wounds (they can be stitched). Avulsions that still have a flap of skin attached may also be suturable. Complete avulsions and abrasions cannot be stitched, but you still may need a doctor to treat the wound if it’s serious enough.

How do you treat skin flap necrosis?

Treatment options range from nonoperative management techniques, such as wound dressings, antimicrobials, and wound management devices, to operative techniques, such as excision of the necrotic tissue with resuturing, skin banking, or skin grafts.

What happens if a skin flap fails?

WHAT DOES A FAILED SKIN GRAFT LOOK LIKE? Compromised or failed skin grafts are characterized by continuous pain, numbness, fever, discoloration, redness, swelling, or a breakdown of tissue. The most obvious sign of an unhealthy skin graft is darkening skin that lacks the pink appearance of healthy skin.

What is myocutaneous flap surgery?

For a myocutaneous flap, a small skin paddle directly overlying the proximal two-thirds of the muscle can be incised and then elevation of the muscle proceeds as before. From: Operative Elbow Surgery, 2012.

What are the four main types of flaps?

Here’s how they work.

• 1) Plain Flaps. The most simple flap is the plain flap.
• 2) Split Flaps. Next up are split flaps, which deflect from the lower surface of the wing.
• 3) Slotted Flaps. Slotted flaps are the most commonly used flaps today, and they can be found on both small and large aircraft.
• 4) Fowler Flaps.

What is a pedicled groin flap?

The pedicled groin flap is one kind of distant flap with an axial vessel and not a random abdomen flap. It is a safe and reliable reconstructive option to cover soft tissue defects in the hand and forearm ( Fig. 76.1 ).

What is the source of the groin flap?

The groin flap is supplied by the superficial circumflex iliac artery (SCIA), a branch of the femoral artery, and accompanying venae comitantes. The SCIA originates 2 to 3 cm below the midpoint of the inguinal ligament and courses laterally parallel to the inguinal ligament until it reaches the medial border of the sartorius muscle.

What is a tunneled transposition flap?

Tunneled transposition flap. The tunneled transposition flap is a single-staged flap for the repair of deep defects of the nasal ala that do not lend themselves to skin graft repairs. When a decision is made by the surgeon to use this particular flap, 2 important considerations must be addressed.

Where is the temporoparietal fascia flap?

Temporoparietal fascia flap. A more accurate description of the layers of the scalp demonstrating the relationship of the temporoparietal fascia to the overlying skin and subcutaneous tissue and the deeper muscular fascia. The temporoparietal fascia is located superficial to the deep temporal fascia.