The use of V-Y advancement flaps for closure of pretibial skin defects after excision of cutaneous lesions

We retrospectively analyzed 88 consecutive V-Y flap closures of pretibial surgical defects of up to 45 mm in diameter. Eight percent of patients developed wound infection, which showed a significant association with antihypertensive use. No bleeding complications were experienced in any of the patie...

Full description

Saved in:
Bibliographic Details
Published inAnnals of plastic surgery Vol. 71; no. 4; p. 402
Main Authors Coombs, Christopher J, Ng, Sally, Stewart, David A
Format Journal Article
LanguageEnglish
Published United States 01.10.2013
Subjects
Adult
Aged
Aged, 80 and over
Female
Follow-Up Studies
Graft Survival
Health Care Costs
Humans
Leg - surgery
Logistic Models
Male
Middle Aged
Reconstructive Surgical Procedures - economics
Reconstructive Surgical Procedures - methods
Retrospective Studies
Skin Neoplasms - economics
Skin Neoplasms - surgery
Surgical Flaps - economics
Surgical Wound Infection - etiology
Tibia
Treatment Outcome
Victoria
Victoria
Online AccessGet more information

Cover

More Information
Summary:We retrospectively analyzed 88 consecutive V-Y flap closures of pretibial surgical defects of up to 45 mm in diameter. Eight percent of patients developed wound infection, which showed a significant association with antihypertensive use. No bleeding complications were experienced in any of the patients, including 40 patients on antiplatelet or anticoagulation therapy. Health care costs were calculated as far less than those for patients treated with split skin grafting because of shorter hospital stay and fewer dressing visits. V-Y flap closure is a safe and reliable technique and is a superior alternative to split skin grafting in appropriate defects in the pretibial area.
ISSN:1536-3708
DOI:10.1097/SAP.0b013e31824c9382