A Case of Harvesting Anterolateral Thigh Flaps Twice from the Ipsilateral Thigh of a Single Patient in Separate Operations

Saito Masami,Tomizuka Yosuke,Ueda Kazuki,Okochi Masayuki,Kimura Naohiro,Onda Masamitsu

doi:10.4236/ss.2016.74025

Abstract

Until now, harvesting of flap elevations from the ipsilateral thigh twice in the same patient in two operations has not been reported. We harvested thigh flaps twice from the ipsilateral thigh of a single patient in separate operations. A 44-year-old man had skin defects of the right thumb and the left middle finger. In the first operation, his right thumb was reconstructed by the hemi-pulp flap. The anterolateral thigh flap harvested from the left thigh transferred to the donor site defect of the hemi-pulp flap. Sixteen days after the first operation, another anterolateral thigh flap harvested from the left thigh transferred to the defect of the left middle finger. This operative procedure is very useful for cases requiring multi-flap transfer.

Highlights

Several cutaneous perforators arise from the descending branch of the lateral circumflex artery at the lateral thigh, and these perforators nourish the anterolateral thigh flap
The reconstructive surgeries of his right thumb and his left middle finger were planned in separate operations
Sixteen days after the initial surgery, another anterolateral thigh flap was harvested from the left thigh and transferred to the defect of the left middle finger (Figure 5, Figure 6)

Summary

Introduction

Several cutaneous perforators arise from the descending branch of the lateral circumflex artery at the lateral thigh, and these perforators nourish the anterolateral thigh flap. Until now, harvesting of an anterolateral thigh. How to cite this paper: Masami, S., Naohiro, K., Masayuki, O., Yosuke, T., Masamitsu, O. and Kazuki, U. (2016) A Case of Harvesting Anterolateral Thigh Flaps Twice from the Ipsilateral Thigh of a Single Patient in Separate Operations. We harvested anterolateral thigh flaps from the ipsilateral thigh of a single patient on two occasions using two of these perforators

Case Report

Discussion

Conclusion