Technical points that likely contributed to this result include the complete dissection of all involved tissue, the appearance of diligent hemostasis, the use of hemovac drains to prevent fluid re-accumulation split-thickness skin grafting on the ventral surface of the penis, and the taking of scrotal advancement flaps
from areas with normal, non-edematous skin.
The corresponding interdigital skin on the dorsal surface of the foot was also incised to create a single pedicle advancement flap.
A single pedicle advancement flap was applied successfully to cover and heal the pododermatitis lesion in this hawk.
19,21) To preserve vascularization throughout the entirety of the flap, the length of a single pedicle advancement flap must be no more than twice that of the base.
Caption: Figure 8 Clinical photo illustrating a Moberg advancement flap (preoperative, intraoperative, immediate postoperative, 1 year postoperative).
Volar advancement flaps are effective in the thumb because of the dedicated dorsal blood supply from the princeps pollicis artery.
Summary of clinical features of reported patients Case A/R/S Location Size Morphology 1 66/W/F L nasal sidewall 4 X 4 mm Pearly papule 2 69/W/M L post auricular 10 X 10 mm Scaly erythematous plaque 3 75/W/M Rt base of posterior neck 10 X 10 mm Pearly plaque Case NOS Depth PO Size Repair 1 1 Adipose 7 X 9 mm Cheek advancement flap
2 1 Adipose 13 X 15 mm Complex closure 3 2 Muscle 20 X 35 mm Complex closure A, age; F, female; L, left; M, male, NOS, number of stages (of Mohs surgical excision); PO, postoperative; R, race; Rt, right; S, sex; W, white.
Reported success rates for this type of advancement flap range from 41% to 100%, and the variation may be explained by differences in the way results are reported.
Other transanal surgical options include layered closure and the anocutaneous advancement flap, and transvaginal options include fistula inversion and vaginal flap advancement.
A number of surgeries, including transvaginal repairs, endorectal advancement flaps, and muscle interposition and resection, have been described in patients with Crohn's disease.
The defect was repaired with opposing V-Y advancement flaps
, he said.