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- W3202000393 abstract "The neurocutaneous sural flap is useful to cover defects of the distal quarter of the lower limb. Nevertheless, severe complications occur in 14% of the cases, and venous congestion is reported in 75% of these cases. This congestion can lead to total necrosis of the flap and a failure of the procedure. We describe a new surgical method aiming to reduce the risk of venous congestion occurrence and failure of the defect coverage.We realized a retrospective study of patients who undergone a de-epidermized distally based neurocutaneous sural flap in our surgery department from 2015 to 2020. The following data were collected: sex, age, vascular risk factors, size of the wound, defect area, etiology, delay between the surgery of the flap and the split-thickness skin graft and complications.The cohort is composed of 5 cases. We reported no failure of the coverage of the defect. There were no cases of venous congestion.The de-epidermized distally based neurocutaneous sural flap could increase the reliability of these flaps by reducing the risk of venous congestion. A larger study comparing the classic technique to the de-epidermized sural flap could confirm these data on a greater number of cases and position this technique in the therapeutic arsenal." @default.
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- W3202000393 date "2022-03-01" @default.
- W3202000393 modified "2023-09-27" @default.
- W3202000393 title "Le lambeau sural désépidermisé : technique originale de fiabilisation du lambeau neurocutané sural" @default.
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- W3202000393 doi "https://doi.org/10.1016/j.anplas.2021.08.002" @default.
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