Skin Flaps Flashcards
What is the most consistent and reliable axial pattern flap?
Caudal supericial epigastric APF
Use for repair of caudal abdominal, flank, inguinal, preputial perineal thigh, and stifle defects)
What would the cranial superficial epigastric APF be a good choice for?
Sternal defects
What type of APF would be good for medial and lateral tibial defects?
Genicular
What type of APF would be good for major defects over the greater trochanter and lateral pelvic area?
Deep circumflex iliac APF!
can also use for ipsilateral flank, lateral lumbar area, caudal thorax, lateral thigh and pelvic area
What are composite flaps?
Flaps composed of skin w/muscle, bone, or cartilage
Myocutaneous = most common
these flaps are reserves for cases when more routine flaps are not applicable
What type of myocutaneous flap would be best suited for LARGE thoracic defects (chest wall reconstruction)?
Latissmus dorsi! (Flat triangular mm. Overlying the dorsal half of the lateral thoracic wall)
What type of muscle flaps are used to repair prepublication tendon ruptures or femoral hernias when tissue trauma, refraction and fibrosis preclude adequate an atomic reapposition?
Cranial sartorius muscle flaps
What type of muscle flap can be rotated distally to cover defects over the tibial or metatarsal area?
Caudal sartorius muscle flaps (may facilitate fracture repair when healing is impaired by osteomyelitis or poor circulation)
What type of flap is especially useful for chronic, non-healing wounds involving the thorax, abdomen, and inguinal and axillary region?
Omental flap!
- used to cover soft tissue defects, contribute to circulation and drainage, enhance healing, control adhesion and combat infection
- requires celiotomy to mobilize the momentum in order to reach distant sites: omental release from pancreas and lengthening itwith an inverted L-shaped incision—>preferred
