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Flap Perfusion Mapping: TRAM Flap after Abdominal Suction-Assisted Lipectomy

1999; Lippincott Williams & Wilkins; Volume: 104; Issue: 7 Linguagem: Inglês

10.1097/00006534-199912000-00057

1529-4242

James W. May, Ronald P. Silverman, John A. Kaufman,

Reconstructive Facial Surgery Techniques

Any split-thickness skin graft donor site is obvious to some degree because of pigment alterations and, at the worst, it can develop hypertrophic scarring. A predictably superior aesthetic result is possible if this site is converted to a full-thickness defect followed by primary closure, because a linear scar is the only residuum. Using a modified tumescent technique, the groin can also be readily used as a split-thickness donor site if a thin graft is preferred; it captures the attributes of an ideal donor site in which pain is diminished, healing rapid, and the scar inconspicuous, just as when it is used as a full-thickness skin graft donor site.