Combining Historic and Modern Concepts: How the Delay Phenomenon Enhances Propeller Flap Success in Large Dorsolumbar Soft Tissue Reconstruction.

Plastic and reconstructive surgery. Global open 2025 Vol.13(10) p. e7219

Lu D, Danino MA, Sahraoui O, Abellan Lopez M, Shen J, Wang Z

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Abstract

The authors present a novel 2-staged approach for complex dorsolumbar wound reconstruction in a multioperated spine patient with limited local flap options and contraindications for free flap reconstruction due to arteriosclerosis and cardiac issues. A delayed dorsal propeller flap was first autonomized to enhance perfusion, followed by elevation and mobilization 4 weeks later. This approach combined the historic delay phenomenon with modern propeller flap techniques, achieving durable coverage and infection control. The case highlights the value of integrating traditional and innovative surgical methods for complex reconstructions.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 flap 피판재건술 dict 3
시술 free flap 피판재건술 dict 1
시술 local flap 피판재건술 dict 1
해부 cardiac scispacy 1
합병증 infection 감염 dict 1
합병증 wound scispacy 1
합병증 dorsal propeller flap scispacy 1
질환 arteriosclerosis C0003850
Arteriosclerosis
scispacy 1
기타 patient scispacy 1

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