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• W4200506297 abstract "Initially described by Kouraba et al. in 2003, nonvascularized perifascial areolar tissue (PAT) grafts have become valuable reconstructive surgery tools because they are minimally invasive and easy to harvest under local anesthesia, leaving a minor scar 1 Miyanaga T. Haseda Y. Daizo H. et al. A Perifascial areolar tissue graft with topical administration of basic fibroblast growth factor for treatment of complex wounds with exposed tendons and/or bones. J Foot Ankle Surg. 2018; 57: 104-110 Google Scholar ,2 Kouraba S. Sakamoto T. Kimura C. Perifascial areolar application for coverage of exposed bone and tendon. ANZ J Surg. 2003; 73: A260 Google Scholar . The size limitation of the wounds with exposed tendons and/or bones has not yet been determined. Miyanaga et al. reported that a wound with a width of ≤ 3 cm was treated successfully with nonvascularized PAT grafts and topical basic fibroblast growth factor 1 Miyanaga T. Haseda Y. Daizo H. et al. A Perifascial areolar tissue graft with topical administration of basic fibroblast growth factor for treatment of complex wounds with exposed tendons and/or bones. J Foot Ankle Surg. 2018; 57: 104-110 Google Scholar . Nonvascularized PAT is composed of loose connective tissue, collagen, and an abundant vascular plexus. It is found in the deep muscular fascia, overlaying deep fat. Most reported cases involved the inguinal region (located on the fascia of the abdominal external oblique muscle) because the scar was covered by underwear. The thigh (located on the fascia lata) was a commonly used donor site 1 Miyanaga T. Haseda Y. Daizo H. et al. A Perifascial areolar tissue graft with topical administration of basic fibroblast growth factor for treatment of complex wounds with exposed tendons and/or bones. J Foot Ankle Surg. 2018; 57: 104-110 Google Scholar ,3 Koizumi T. Nakagawa M. Nagamatsu S. et al. The versatile perifascial areolar tissue graft: adaptability to a variety of defects. J Plast Surg Hand Surg. 2013; 47: 276-280 Google Scholar . Both sites provided adequate tissues for harvesting sufficient nonvascularized PAT. An additional local or lumbar spinal anesthesia is necessary when the recipient site (wound site) is in the upper extremity." @default.
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• W4200506297 date "2022-03-01" @default.
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• W4200506297 title "The ipsilateral distal upper arm can be useful in harvesting the nonvascularized perifascial areolar tissue for hand injuries" @default.
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• W4200506297 doi "https://doi.org/10.1016/j.bjps.2021.11.108" @default.
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