文献类型：期刊文献

英文题名：Coverage of large soft tissue defects of the lower limb and foot with superficial inferior epigastric artery flap

作者：Liu, Dong[1];Xie, Xingwen[2];Chu, Ping An[1];Zhou, Xin[4];Luo, Lin[3];Li, Ning[2]

第一作者：刘丹

通信作者：Xie, XW[1];Li, N[1]

机构：[1]Gansu Univ Chinese Med, Sch Clin Chinese Med, Lanzhou, Gansu, Peoples R China;[2]Gansu Univ Chinese Med, Affiliated Hosp, Dept Orthopaed, Lanzhou, Gansu, Peoples R China;[3]Southwest Med Univ, Affiliated Tradit Chinese Med Hosp, Dept Orthopaed, Luzhou, Sichuan, Peoples R China;[4]Army Med Univ, Affiliated Hosp 2, Dept Plast Surg, Chongqin, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Affiliated Hosp, Dept Orthopaed, Lanzhou, Gansu, Peoples R China.|[10735b845793de6ae2b30]甘肃中医药大学第二附属医院;[10735]甘肃中医药大学;

年份：2024

卷号：11

外文期刊名：FRONTIERS IN SURGERY

收录：;Scopus(收录号：2-s2.0-85208633517);WOS:【SCI-EXPANDED(收录号:WOS:001348618600001)】；

基金：The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This research was supported by the Gansu Province Famous Traditional Chinese Medicine Inheritance Studio Construction Project (Gan Cai She [2023] No. 168) and Gansu Province Top notch Leading Talents Project (Provincial Talent Group [2021] No. 2).

语种：英文

外文关键词：superficial inferior epigastric artery (SIEA) flap; lower limb and foot; soft tissue defects; reconstruct; surgery

摘要：Background Large soft tissue defects of the lower limb and foot are common occurrence in clinical practice and a considerable number of flaps have been used to treat them. However, there have been few reports using the superficial inferior epigastric artery (SIEA) flap. This review aims to present the experience of using the SIEA flaps for the repair of large soft tissue defects of the lower limb and foot.Methods A retrospective review of data from 11 patients who underwent coverage of lower limb and foot defects exceeding 120 cm2 (15 x 9 cm) using SIEA flaps from March 2018 to July 2022 were retrospectively reviewed. The average size of the defects was 18 x 11 cm2 (range 15 x 9 cm2-32 x 16 cm2). Flap survival rates, surgical complications and overall long-term outcomes were recorded.Results All 11 flaps survived. One flap was partially necrotic at the edge and healed after several changes of dressing. Additionally, one flap presented with mild venous congestion. The mean follow-up period was 18 months (ranging from 12 to 30 months). The mean size of the flaps was 20 x 12 cm2 (range 17 x 9 cm2-34 x 18 cm2). The flaps were observed to be aesthetically pleasing and exhibited a well-defined texture. The donor wounds were successfully closed primarily, with only linear scarring remaining.Conclusions The SIEA flap is characterised by concealed donor area, superficial vascular location, easy access and primary closure, which results in favourable aesthetic outcomes. It is an appropriate choice for the repair of large soft tissue defects of the lower limb and foot.