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Multiple Techniques for Delay of Cross Leg Flap

Ravi Kumar Chittoria, Somala Prathuyusha, Barath Kumar Singh P

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International Physiology 11(2):p 53-56, May-August 2023. | DOI: 10.21088/ip.2347.1506.11223.3

How Cite This Article:

Prathuyusha S, Chittoria RK, Singh PB. Multiple techniques for delay of cross leg flap. Int Physiol. 2023;11(2):53–6.

Timeline

Received : November 15, 2022         Accepted : December 23, 2023          Published : January 30, 2023

Abstract

Pedicled cross-extremity flaps for lower limb wound coverage have been replaced by free tissue transfer in the last two decades. However, there are certain difficult situations where the free flap cannot be employed and alternative methods are needed. Delay is defined assurgical interruption of a portion of the blood supply in a preliminary stage prior to tissue transfer in the pedicled flap. We describe our experience with cross leg flap for the reconstruction of lower limb defect.


References

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  • 2.   De Almeida OM, Monteiro AA Jr, Neves RI, De Lemos RG, Braz JC, Brechtbuhl ER, et al. Distally based fasciocutaneous flap of the calf for cutaneous coverage of the lower leg and dorsum of the foot. Ann Plast Surg. 2000 Apr;44(4):367–74.
  • 3.   Chen HC, El-Gammal TA, Wei FC, Chen HH, Noordhoff MS, Tang YB. Cross-leg free flaps for difficult cases of leg defects: indications, pitfalls, and long-term results. J Trauma. 1997 Sep;43(3):486–91.
  • 4.   Hamilton K, Wolfswinkel EM, Weathers WM, Xue AS, Hatef DA, Izaddoost S, Hollier LH Jr. The delay phenomenon: a compilation of knowledge across specialties. Craniomaxillofac Trauma Reconstr. 2014 Jun;7(2):112–8.
  • 5.   Restifo RJ, Ahmed SS, Rosser J, Zahir K, Zink J, Lalikos JA, et al. TRAM flap perforator ligation and the delay phenomenon: development of an endoscopic/laparoscopic delay procedure. Plast Reconstr Surg. 1998 May;101(6):1503–11.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

Whether all authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

The authors report no conflicts of interest in this work.


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Cite this article

Prathuyusha S, Chittoria RK, Singh PB. Multiple techniques for delay of cross leg flap. Int Physiol. 2023;11(2):53–6.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.



Received Accepted Published
November 15, 2022 December 23, 2023 January 30, 2023

DOI: 10.21088/ip.2347.1506.11223.3

Keywords

Scross Leg FlapLower Limb DefectPharmacological DelayMechanical DelaySurgical DelayPerforator Ligation

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Timeline


Received November 15, 2022
Accepted December 23, 2023
Published January 30, 2023

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.



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