Reduced Anterolateral Thigh Flap Donor-Site Morbidity Using Incisional Negative Pressure Therapy

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dc.contributor.authorMangelsdorff, Gunther
dc.contributor.authorCuevas, Pedro
dc.contributor.authorRamon Rodriguez, Jose
dc.contributor.authorPereira, Nicolas
dc.contributor.authorRamirez, Enrica
dc.contributor.authorYanez, Ricardo
dc.date.accessioned2025-01-23T21:17:05Z
dc.date.available2025-01-23T21:17:05Z
dc.date.issued2019
dc.description.abstractBackground Primary closure of the donor-site after harvest of a large anterolateral thigh flap (ALT) is associated with significant morbidity. Incisional negative pressure therapy (INPT) may decrease complications in high-risk incisions. This study assessed if the incidence of complications after primary closure of the ALT flap donor-site decreases with INPT.
dc.description.abstractMethods Retrospective cohort study of a prospectively maintained database including patients who underwent upper and lower limb reconstruction, using an ALT free flap with primary closure of the donor-site. Two groups were defined: primary closure and INPT (study group) and primary closure with traditional dressings (control group). Nonparametric statistics were employed to identify prognostic factors, p <0,05.
dc.description.abstractResults Fifty-eight free ALT flaps in 58 patients (study group n =28; control group n =30) were included. Median flap width and length were 9 cm (range: 5-14) and 25 cm (range: 10-48), respectively. Median follow-up was 19 months (range: 3-78 months). No significant differences in age or flap size were identified in both groups (p>0.05). The global complication rate was 7.14% ( n =2) in the INPT group, and 37% ( n =11) in the control group ( p =0.007). The study group had a lower dehiscence and skin necrosis rate ( p <0.05). Multivariate logistic regression analysis showed IPNT was associated with a significant reduction of donor-site complications ( p =0.006), especially in patients with defects>8 cm ( p =0.003).
dc.description.abstractConclusion In this cohort study the use of INPT significantly reduced the donor-site morbidity after ALT flap harvest.
dc.fuente.origenWOS
dc.identifier.doi10.1055/s-0038-1672126
dc.identifier.eissn1098-8947
dc.identifier.issn0743-684X
dc.identifier.urihttps://doi.org/10.1055/s-0038-1672126
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/101145
dc.identifier.wosidWOS:000460637500011
dc.issue.numero3
dc.language.isoen
dc.pagina.final233
dc.pagina.inicio229
dc.revistaJournal of reconstructive microsurgery
dc.rightsacceso restringido
dc.subjectincisional negative pressure therapy
dc.subjectanterolateral thigh flap
dc.subjectcomplications
dc.subjectfree flap
dc.subjectmicrosurgery
dc.subjectdonor site
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleReduced Anterolateral Thigh Flap Donor-Site Morbidity Using Incisional Negative Pressure Therapy
dc.typeartículo
dc.volumen35
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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