Clinical application effects of free transplantation of lobulated inguinal flaps

Zhang Wei; Zhang Weidong; Xu Junhui; Chen Lan; Gong Xiang; Liu Feng; Zhou Jinxiu; Yang Fei; Xie Weiguo

doi:10.3760/cma.j.cn501225-20241014-00384

Volume 41 Issue 1

Jan. 2025

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Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2025 > 41(1): 36-44

Zhang W,Zhang WD,Xu JH,et al.Clinical application effects of free transplantation of lobulated inguinal flaps[J].Chin J Burns Wounds,2025,41(1):36-44.DOI: 10.3760/cma.j.cn501225-20241014-00384.

Citation:

Zhang W,Zhang WD,Xu JH,et al.Clinical application effects of free transplantation of lobulated inguinal flaps[J].Chin J Burns Wounds,2025,41(1):36-44.DOI: 10.3760/cma.j.cn501225-20241014-00384.

Citation:

Zhang W,Zhang WD,Xu JH,et al.Clinical application effects of free transplantation of lobulated inguinal flaps[J].Chin J Burns Wounds,2025,41(1):36-44.DOI: 10.3760/cma.j.cn501225-20241014-00384.

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Clinical application effects of free transplantation of lobulated inguinal flaps

doi: 10.3760/cma.j.cn501225-20241014-00384

Department of Burns, Tongren Hospital of Wuhan University ＆ Wuhan Third Hospital, Wuhan 430060, China

Funds:

Natural Science Foundation of Hubei Province of China 2024AFB470

Knowledge Innovation Program of Wuhan-Shuguang Project 2022020801020553

Clinical Medical Research Project of Wuhan WX23Q11

More Information

Corresponding author: Xie Weiguo, Email: wgxie@hotmail.com
Received Date: 2024-10-14

Abstract

Abstract

Objective To investigate the clinical application effects of free transplantation of lobulated inguinal flaps. Methods This study was a retrospective observational study. From July 2019 to April 2024, 34 patients with skin defect wounds whose wounds in one part met the inclusion criteria were admitted to Tongren Hospital of Wuhan University & Wuhan Third Hospital, including 28 males and 6 females, aged 26 to 59 years. The wound area in the recipient area ranged from 3.0 cm×2.0 cm to 25.0 cm×20.0 cm. The lobulated inguinal flap pedicled with the branch of the superficial circumflex iliac artery were obtained in 19 patients, and the lobulated inguinal flap pedicled with the main artery of the superficial circumflex iliac artery and the superficial inferior epigastric artery were obtained in 15 patients. The total area of the flaps ranged from 6.0 cm×2.2 cm to 27.0 cm×23.0 cm. The flaps were divided into 2 to 4 lobes, and the area of each lobe ranged from 2.0 cm×1.0 cm to 17.0 cm×12.0 cm. Each lobe of the flaps was reassembled, spliced, or directly transplanted onto the wounds, and the donor wounds were sutured in layers. The survival of each lobe of the flaps and wound healing in the recipient and donor areas were observed, and the wound recovery in the recipient and donor areas were followed up. At the last follow-up, the patient's satisfaction with the efficacy was assessed by 5-grade Likert scale. Results A small amount of necrosis appeared in the tip of one lobe of the flaps in 4 patients after surgery, which healed after trimming. The flaps of the remaining 30 patients survived. The wounds in the recipient areas healed smoothly. There was a small amount of necrosis at the suture edge of the donor areas in 3 patients, which healed after local trimming and dressing change. The donor wounds healed well in the remaining 31 patients. During the follow-up of 6 to 42 months, all the recipient wounds were well repaired, and the shape of the donor areas was good. At the last follow-up, 15 patients were very satisfied with the efficacy, 15 were relatively satisfied, and 4 were generally satisfied. Conclusions Through preoperative ultrasonic examination and positioning, the inguinal flap is designed according to the course of blood vessels and lobulated with the branch of the superficial circumflex iliac artery or the main artery of the superficial circumflex iliac artery and the superficial inferior epigastric artery as the pedicles. The anatomical process is reliable and the blood flow of the flap after being lobulated is rich, which can meet the repair needs of various skin defect wounds. The repair effect is good, and the damage in the donor area is small, which is worthy of promotion.
- Perforator flap,
- Microsurgery,
- Arteriovenous anastomosis,
- Reconstructive surgical procedures,
- Soft tissue injuries,
- Cicatrix,
- Burns,
- Carcinoma, squamous cell,
- Wound repair

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References(40)

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