Further Experience with the Medial Circumflex Femoral(GRACILIS) Perforator Free Flap.
Publication/Presentation Date
2-1-2004
Abstract
The microsurgical transfer of the medial groin skin territory previously required this to be part of a transverse-oriented gracilis musculocutaneous free flap. As the concept of muscle perforator flaps has evolved, avoidance of muscle bulk and/or retention of muscle function here is also possible with the careful intramuscular dissection of the gracilis musculocutaneous perforators back to the usual medial circumflex femoral source vessel. This so-called medial circumflex femoral (GRACILIS) [MCF (GRACILIS)] perforator free flap has been successfully used seven times in six patients with minimal complications. The MCF (GRACILIS) muscle perforator flap may well represent the ideal skin flap: no muscle function is sacrificed; a reliable skin territory of large size is available; the dominant vascular pedicle is consistent in location; the flap may be harvested with the patient in a supine position; a combined conjoint flap including the gracilis muscle is optional; closure of the donor site leaves a medial groin scar that can be readily concealed; and flap dissection in this region is already very familiar to most microsurgeons.
Volume
20
Issue
2
First Page
115
Last Page
122
ISSN
0743-684X
Published In/Presented At
Hallock, G. G. (2004). Further experience with the medial circumflex femoral(GRACILIS) perforator free flap. Journal Of Reconstructive Microsurgery, 20(2), 115-122.
Disciplines
Medicine and Health Sciences | Other Medical Specialties | Plastic Surgery | Surgery
PubMedID
15011118
Department(s)
Department of Surgery, Department of Surgery Faculty
Document Type
Article