Closure of hemicorporectomy with bilateral subtotal thigh flaps |
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Authors: | Chang D W Lee J E Gokaslan Z L Robb G L |
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Affiliation: | Department of Plastic and Reconstructive Surgery, University of Texas M. D. Anderson Cancer Center, Houston 77030-4095, USA. dchang@mdanderson.org |
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Abstract: | Hemicorporectomy is typically performed with a circumferential truncal incision, and the wound is closed primarily. Wound disruption is a common complication, especially at the base of the wound closure and posteriorly at the lumbar vertebral level. We report a case of the use of bilateral subtotal thigh flaps for the closure of a hemicorporectomy wound in a patient with a defect extending up to the high lumbar region. The subtotal thigh flap is a well-vascularized thick flap that provides a firm support for the abdominal viscera and is a large flap that can be used to close even a high lumbar defect. |
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