Delayed bipedicled flap: An alternative and new method for reconstruction of distal leg defect after gunshot trauma: A case report and review of the literature

Yıldırım, Ali Rıza; İğde, Murat; Öztürk, Mehmet Onur; Ergani, Hasan Murat; Ünlü, Ramazan Erkin

doi:10.5505/tjtes.2017.90016

Cited by 4 publications

(9 citation statements)

References 27 publications

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“…We confirmed the scientific hypothesis of some scientists[21, 22,23] about the possibility of closing gunshot wounds by applying primary-delayed sutures for 5-7 days in the absence of infection signs at the Role 2 and Role 3. At the same time, the results of the study do not correspond to the data of Researchers [24, 25], according to whom it is possible to leave bullets and fragments in the absence of plumbing and damage to vascular-nerve bundles.…”

supporting

confidence: 89%

Organization of sorting and surgery of wounds with soft tissue defects during the joint force surgery

Хоменко

Лурін

Коrol

et al. 2020

J Educ Health Sport

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Introduction. The experience of providing medical care during the Anti-terrorist operation in eastern Ukraine showed that in the structure of modern combat surgical trauma gunshot wounds with soft tissue defects are between 64.9-68.2%, of which 36.4-37.5% are small and medium, 28.5-30.7% are large and very large defects. Aim: To improve the results of providing surgical care to the wounded with soft tissue defects by introducing a variety of surgical tactics of wound closure to the medical care levels. Material and Methods. The total array of the study was 2537 wounded with shrapnel, bullet and mine injuries from April 2014 to September 2018. The determination of surgical tactics for closing soft tissue defects was performed at the basis of metric classification taking into account the area, volume and anatomical areas of the lesion. Results. The combination of metric characteristics of wound defects by area, volume with localization of wounds in a single classification allowed the offer of a comprehensive approach to sorting the wounded at the level of medical care and to determine further surgical tactics to close soft tissue defects. In accordance with the sorting and evacuation purposes, the wounded with gunshot wounds to the foot and hand (third zone of injury) were treated in specialised centres to the fourth level of medical care. In the case of medium and large wounds of the thigh, leg, shoulder and forearm, medical care was provided at the second and 261 third levels. And in the case of large and very large wounds of the specified localisation was provided in specialised clinics of the fourth level. Conclusions. The introduction of differentiated surgical tactics in the wounded with soft tissue defects at the levels of medical care has improved functional results: increase the proportion of good from 46.9% to 53.7%, reduce the relative number of unsatisfactory from 18.8% to 11, 6%.

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supporting

confidence: 89%

Organization of sorting and surgery of wounds with soft tissue defects during the joint force surgery

Хоменко

Лурін

Коrol

et al. 2020

J Educ Health Sport

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“…Bipedicled flaps being simple flaps take lesser operating time than other conventional muscle or free flap and hence there is lesser anesthesia time, no advanced equipment or instruments as in microvascular free flaps is required and hence proves more economical to the patient [6,15].…”

Section: Discussionmentioning

confidence: 99%

Bipedicle flaps - A Simple & Effective Mode of Coverage of Defects in the Leg and Foot: A Retrospective Case Study

Chaudhary,

Soni,

J. L.

2023

CCR

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“…6 This concept allows the length of the flap to be extended in bipediculated flaps without reducing the flap width. Yildirim et al 7 performed reconstruction with a 2-stage delay bipedicled flap in a patient with a major lower extremity vascular injury.…”

Section: Discussionmentioning

confidence: 99%

A Simple and Convenient Alternative for the Reconstruction of Lower Extremity Soft Tissue Defects due to Different Types of Etiologies: Bipedicled Flap

Altuntaş

Tekecik

Dadacı

2021

The International Journal of Lower Extremity Wounds

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Reconstruction of soft tissue defects in the lower extremity due to different etiologies can be a challenging process for surgeons. Compelling reasons for reconstruction include the anatomy of the lower extremity, limited mobility of soft tissues especially the presence of bone, tendon, and neurovascular structures under the defect, and the exposed fixation materials make these defects more complicated. Local fasciocutaneous and muscle flaps are frequently used for the reconstruction of these defects. The patients in our study were with multiple comorbidities such as diabetes mellitus, hypertension, atherosclerosis, and peripheral vascular disease. In this study, with a clinic series consisting of 42 patients (29 male and 13 female), we present a reconstruction with a bipedicled flap as a safe, simple, and efficient reconstructive modality in the treatment of lower extremity soft tissue defects. Except for 1 total flap loss, all defects were successfully reconstructed without any major complications. When reconstruction is performed with a bipedicled flap, the main neurovascular structures are not damaged, free flap and other locoregional flaps can be used as a salvage protocol.

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Delayed bipedicled flap: An alternative and new method for reconstruction of distal leg defect after gunshot trauma: A case report and review of the literature

Cited by 4 publications

References 27 publications

Organization of sorting and surgery of wounds with soft tissue defects during the joint force surgery

Organization of sorting and surgery of wounds with soft tissue defects during the joint force surgery

Bipedicle flaps - A Simple & Effective Mode of Coverage of Defects in the Leg and Foot: A Retrospective Case Study

A Simple and Convenient Alternative for the Reconstruction of Lower Extremity Soft Tissue Defects due to Different Types of Etiologies: Bipedicled Flap

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