Microvascular myocutaneous flaps in the lumbosacral area using the iliac artery and vein as recipient vessels.
Lumbosacral tissue defects are usually closed with local flaps. Sometimes in large high-situated defects free microvascular flaps are used. However, finding a suitable recipient vessel for microvascular anastomosis in this region is difficult. In large soft-tissue defects high in the lumbar area, closure with a free flap using the iliac artery and vein as recipient vessels channelled from the pelvic cavity to the back through a drill canal in a bone presents an alternative option where other vessels are damaged by radiotherapy or infection. This has been used successfully in two cases.
Mustonen
P K
PK
Department of Surgery, Kuopio University Hospital, Kuopio, Finland.
Härmä
M A
MA
Berg
M H
MH
Luukkonen
M T
MT
D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007084:Iliac Vein / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging / Q000601:surgery; D008161:Lumbosacral Region; D008297:Male; D008833:Microcirculation; D008875:Middle Aged; D012208:Rhabdomyosarcoma / Q000000981:diagnostic imaging / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply*; D014057:Tomography, X-Ray Computed