Six Cases of the Medial Sural Artery Perforator Flap
In recent years, the medial sural artery perforator flap has attracted attention due to its thin, pliable, and long vascular pedicle without sacrificing the major vessels of the lower extremities. We encountered six cases of head and neck or limb reconstruction using a medial sural artery perforator...
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| Format: | Article |
| Language: | English |
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Japan Society of Plastic and Reconstructive Surgery
2025-01-01
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| Series: | Journal of Plastic and Reconstructive Surgery |
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| Online Access: | https://www.jstage.jst.go.jp/article/jprs/4/1/4_2024-0008/_pdf/-char/en |
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| author | Kaoru Kuwabara Shintaro Ikenoya Masao Oishi Asako Yokogi Noriko Sakakihara Yui Tanaka |
| author_facet | Kaoru Kuwabara Shintaro Ikenoya Masao Oishi Asako Yokogi Noriko Sakakihara Yui Tanaka |
| author_sort | Kaoru Kuwabara |
| collection | DOAJ |
| description | In recent years, the medial sural artery perforator flap has attracted attention due to its thin, pliable, and long vascular pedicle without sacrificing the major vessels of the lower extremities. We encountered six cases of head and neck or limb reconstruction using a medial sural artery perforator flap. All flaps survived; however, one patient developed partial necrosis of the medial head of the gastrocnemius muscle at the donor site.
Necrosis of the gastrocnemius muscle does not usually occur after harvesting the medial sural artery perforator flap. However, blood flow to the muscle could decrease after flap harvest. The dissection of the deep surface of the gastrocnemius muscle and between the medial and lateral heads during flap harvest should be minimized to preserve blood flow, and skin grafting should be used when presumable tension is critical. |
| format | Article |
| id | doaj-art-f466caec16e14beba627b23c2b25894b |
| institution | Kabale University |
| issn | 2436-259X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Japan Society of Plastic and Reconstructive Surgery |
| record_format | Article |
| series | Journal of Plastic and Reconstructive Surgery |
| spelling | doaj-art-f466caec16e14beba627b23c2b25894b2025-02-03T00:52:47ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2025-01-014133372024-0008Six Cases of the Medial Sural Artery Perforator FlapKaoru Kuwabara0Shintaro Ikenoya1Masao Oishi2Asako Yokogi3Noriko Sakakihara4Yui Tanaka5Department of Plastic and Reconstructive Surgery, Matsue Red Cross HospitalDepartment of Plastic and Reconstructive Surgery, Matsue Red Cross HospitalDepartment of Plastic and Reconstructive Surgery, Matsue Red Cross HospitalDepartment of Plastic and Reconstructive Surgery, Matsue Red Cross HospitalDepartment of Plastic and Reconstructive Surgery, Matsue Red Cross HospitalDepartment of Plastic and Reconstructive Surgery, Matsue Red Cross HospitalIn recent years, the medial sural artery perforator flap has attracted attention due to its thin, pliable, and long vascular pedicle without sacrificing the major vessels of the lower extremities. We encountered six cases of head and neck or limb reconstruction using a medial sural artery perforator flap. All flaps survived; however, one patient developed partial necrosis of the medial head of the gastrocnemius muscle at the donor site. Necrosis of the gastrocnemius muscle does not usually occur after harvesting the medial sural artery perforator flap. However, blood flow to the muscle could decrease after flap harvest. The dissection of the deep surface of the gastrocnemius muscle and between the medial and lateral heads during flap harvest should be minimized to preserve blood flow, and skin grafting should be used when presumable tension is critical.https://www.jstage.jst.go.jp/article/jprs/4/1/4_2024-0008/_pdf/-char/enmedial sural artery perforator (msap) flapdonor site complicationgastrocnemius necrosis |
| spellingShingle | Kaoru Kuwabara Shintaro Ikenoya Masao Oishi Asako Yokogi Noriko Sakakihara Yui Tanaka Six Cases of the Medial Sural Artery Perforator Flap Journal of Plastic and Reconstructive Surgery medial sural artery perforator (msap) flap donor site complication gastrocnemius necrosis |
| title | Six Cases of the Medial Sural Artery Perforator Flap |
| title_full | Six Cases of the Medial Sural Artery Perforator Flap |
| title_fullStr | Six Cases of the Medial Sural Artery Perforator Flap |
| title_full_unstemmed | Six Cases of the Medial Sural Artery Perforator Flap |
| title_short | Six Cases of the Medial Sural Artery Perforator Flap |
| title_sort | six cases of the medial sural artery perforator flap |
| topic | medial sural artery perforator (msap) flap donor site complication gastrocnemius necrosis |
| url | https://www.jstage.jst.go.jp/article/jprs/4/1/4_2024-0008/_pdf/-char/en |
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