Hybrid Combined Flaps and Biomaterials for Preservation of Ischemic Limb Following Massive Ablation of Recurrent Sarcoma

Isao Koshima, Shuhei Yoshida, Shogo Nagamatsu, Kazunori Yokota, Shuji Yamashita, Haruki Mizuta and Dalia Tobbia

International Center for Lymphedema, Hiroshima University, Japan Department of Plastic and Reconstructive Surgery, Hiroshima University, Japan Department of Plastic and Reconstructive Surgery, The University of Tokyo, Japan Department of Plastic and Reconstructive Surgery, National Cancer Center (former Okayama University Medical School, Okayama), Japan Department of Plastic and Reconstructive surgery, Plastische Chirurgie am Klosterstern, Germany

^*Correspondance to: Isao Koshima 

 PDF  Full Text DOI: 10.25107/2474-1647.2639

Abstract

A case with recurrent liposarcoma is described in where combined VRAMC flap and emergency free latissimus dorsi musculocutaneous flap as well as artificial hip joint-femur, and femoral vessels were successfully transferred for repair of massive anterior thigh defect. The concept of a hybrid combination with tissue transfers including biomaterials (bone and vessels) can preserve a limb with widely invasive recurrent sarcoma. Emergency free LDMC flap transfer with flow-through pedicle anastomosis is also important to prevent exposure of artificial vessels and bone. In addition, prophylactic LVA is also very important approach for the prevention of postoperative lymphedema as a serious complication after massive resection in the proximal thigh.

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Cite the article

Koshima I, Yoshida S, Nagamatsu S, Yokota K, Yamashita S, Mizuta H, et al. Hybrid Combined Flaps and Biomaterials for Preservation of Ischemic Limb Following Massive Ablation of Recurrent Sarcoma. Clin Surg. 2019; 4: 2639..