The youngest free groin flap yet?

Ohmori, Kitaro; Harii, Kiyonori; Sekiguchi, Junsuke; Torii, Shuhei

doi:10.1016/0007-1226(77)90116-3

“…At one time, microsurgery was considered impossible because of technical difficulties inherent in the small size of the vessels. 2 Gilbert 12 even set an arbitrary limit for vessel diameter (0.7 mm), below which it was considered impossible to perform microanastomosis. Published series have since shown that success rates in children are more than satisfactory.…”

Section: Discussionmentioning

confidence: 99%

“…The first publications 1,2 were sporadic, emphasizing mainly that microsurgical transfer was possible in children. Subsequently, a few small series showed a remarkable success rate.…”

mentioning

confidence: 98%

Free Flap Coverage of Upper and Lower Limb Tissue Defects in Children: A Series of 22 Patients

Duteille

¹

,

Lim

²

,

Dautel

³

2003

Annals of Plastic Surgery

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Free tissue transfer has become the most important means of limb salvage treatment after severe trauma. This one-step procedure shortens healing and hospitalization time and minimizes the danger of infection. However, very few studies have considered the use of free tissue transfer for the reconstruction of traumatic limb injuries in children. This study reports 22 such cases treated in the authors' unit between 1993 and 2000 (17 boys and 5 girls; mean age, 8.9 years; age range, 18 months-15 years; 16 lower and 6 upper limbs). All flaps were indicated for repair of acute traumatic defects (20-500 cm2). Five different flaps were used: 12 scapular, 4 latissimus dorsi, 4 serratus anterior, 1 groin, and 1 temporalis fascia. All were successful, except for partial necrosis with the free groin flap. Three flaps requiring reexploration for venous insufficiency had a successful outcome. The microsurgical success rate in this pediatric population is very high, and the state and size of the donor site and recipient vessels have caused no problems. No long-term complications have been noted (mean follow-up, 3.8 years).

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“…[1,2] Microsurgery was first performed in children in the mid 1970s, a few years after performing the procedure in adults. The first publications [1,2] were sporadic, suggesting the microsurgical transfer was possible in children.…”

Section: Introductionmentioning

confidence: 99%

“…[1,2] Microsurgery was first performed in children in the mid 1970s, a few years after performing the procedure in adults. The first publications [1,2] were sporadic, suggesting the microsurgical transfer was possible in children. [3,4] Free flap surgery in the pediatric population has gained widespread acceptance after doubts about the technical utility and reliability of the procedure were resolved.…”

Section: Introductionmentioning

confidence: 99%

Microsurgical Reconstruction In Pediatric Patients: A Series Of 30 Patients

Akcal¹,

Karşıdağ²,

Sucu³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…[1][2][3] The first few articles were exposing the importance and applicability of microsurgery in children. 1,4,5 Free-tissue transfer has become the preferred treatment option for reconstruction of extensive tissue defects in current algorithm of reconstructive surgery at many centers.…”

mentioning

confidence: 99%