Improving the reliability of the Keystone flap

Improving the reliability of the Keystone flap Eur J Plast Surg (2016) 39:237–238 DOI 10.1007/s00238-015-1097-y LETTER TO THE EDITOR 1 1 1 1 Dariush Nikkhah & Roshan Vijayan & Ian King & Duncan Bayne Received: 8 February 2015 /Accepted: 14 April 2015 /Published online: 6 May 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, We have found that at least doubling the flap to defect ratio The defects after lower limb skin cancer excision espe- has eliminated any need for back grafting and allowed direct cially in the elderly patient cannot often close directly closure on limbs with friable inelastic skin (Fig. 1). This is due to unfavourable tissue factors such as poor skin quicker than converting a type I or type IIa flap to the type III quality, inelastic skin, and peripheral oedema. Tradition- variant and allows for a much more robust flap. ally, skin grafting is performed with variable success; Behan’s suture protocol using a few interrupted non- failure occurs for many reasons including graft shear, resorbable mattress tensioning sutures and a continuous run- haematoma, wound oedema, and infection [1]. Post-op- ning non-resorbable horizontal mattress suture to hem the eratively, a successful graft and donor site require reg- wound works well but requires staged removal of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Improving the reliability of the Keystone flap

Loading next page...
 
/lp/springer_journal/improving-the-reliability-of-the-keystone-flap-aHYjzavVGz
Publisher
Springer Journals
Copyright
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-015-1097-y
Publisher site
See Article on Publisher Site

Abstract

Eur J Plast Surg (2016) 39:237–238 DOI 10.1007/s00238-015-1097-y LETTER TO THE EDITOR 1 1 1 1 Dariush Nikkhah & Roshan Vijayan & Ian King & Duncan Bayne Received: 8 February 2015 /Accepted: 14 April 2015 /Published online: 6 May 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, We have found that at least doubling the flap to defect ratio The defects after lower limb skin cancer excision espe- has eliminated any need for back grafting and allowed direct cially in the elderly patient cannot often close directly closure on limbs with friable inelastic skin (Fig. 1). This is due to unfavourable tissue factors such as poor skin quicker than converting a type I or type IIa flap to the type III quality, inelastic skin, and peripheral oedema. Tradition- variant and allows for a much more robust flap. ally, skin grafting is performed with variable success; Behan’s suture protocol using a few interrupted non- failure occurs for many reasons including graft shear, resorbable mattress tensioning sutures and a continuous run- haematoma, wound oedema, and infection [1]. Post-op- ning non-resorbable horizontal mattress suture to hem the eratively, a successful graft and donor site require reg- wound works well but requires staged removal of

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jun 1, 2016

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off