title: Combined sliding flap using a single perforator enables simple closure of the donor site: a case report.
abstract: We report the case of a 39-year-old man with a dermatofibrosarcoma protuberans (DFSP) on the right shoulder. A wide surgical excision of the tumour was performed, creating a 12-cm-wide defect. An anterolateral thigh flap created from two semicircular skin paddles was harvested and the two skin paddles were slid towards each other to cover the circular defect. The sliding technique is a useful design that preserves the suprafascial plexus and enables a single perforator to supply two split-skin paddles. Using this design, the donor site can be closed primarily without requiring a skin graft. This technique can be applied to other free flaps to reconstruct wide defects after the resection of cancers.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Shizuoka Cancer Center Hospital, 1007 Shimonagakubo, Naga-izumi, Shizuoka 411-8777, Japan. yoko-prs@umin.ac.jp
authors.forename: Yoko
authors.initials: Y
authors.lastname: Katsuragi
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Katagiri
authors.forename: Shogo
authors.initials: S
authors.lastname: Nagamatsu
authors.forename: Shuji
authors.initials: S
authors.lastname: Kayano
authors.forename: Takuya
authors.initials: T
authors.lastname: Koizumi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Matsui
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Takagi
authors.forename: Hideki
authors.initials: H
authors.lastname: Murata
authors.forename: Dai
authors.initials: D
authors.lastname: Ogata
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Takahashi
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakagawa
mesh_terms: D000328:Adult; D018223:Dermatofibrosarcoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012782:Shoulder; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D013848:Thigh; D020858:Tissue and Organ Harvesting / Q000379:methods*