Gracilis myocutaneous flap

Evaluation of potential risk factors and long-term donor-site morbidity

Othon Papadopoulos, Petros Konofaos, Panos Georgiou, Chrisostomos Chrisostomidis, Zacharias Tsantoulas, Dimitrios Karypidis, Alkiviadis Kostakis

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

This study reviewed our experience with the gracilis myocutaneous (GMC) flap, potential risk factors for flap necrosis, and long-term morbidity at the donor-site. From 1993 to 2002, 29 GMC flaps were harvested from 27 patients (pedicled n = 21 and free n = 8). The overall incidence of flap necrosis was 13.79% (partial (n = 2) and total (n = 2) necrosis). Flap necrosis was correlated with body mass index >25 (P = 0.022), with smoking (P = 0.04 9) and with radiation therapy at the recipient site (P = 0.020). The long-term morbidity at the donor-site was low, except for scar appearance (17.24%), thigh contour deformity (58.62%), and hypoesthesia (17.24%). Significant age and gender differences were seen for ranking of scar ugliness, with females (P = 0.0061) and younger patients (age ≤55) (P = 0.046) assigned higher values. Significant age differences were seen for ranking of thigh contour deformity, with younger patients assigned higher values (P = 0.0012). In conclusion, patient overweight, smoking, and previous radiation therapy at the recipient site may be the "potential risk factors" for flap necrosis. The long-term morbidity at the donor-site was low, which was in agreement with previous reported studies. A larger series would be the subject of a future study.

Original languageEnglish (US)
Pages (from-to)448-453
Number of pages6
JournalMicrosurgery
Volume31
Issue number6
DOIs
StatePublished - Sep 1 2011

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Myocutaneous Flap
Necrosis
Tissue Donors
Morbidity
Thigh
Cicatrix
Radiotherapy
Smoking
Hypesthesia
Body Mass Index
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Papadopoulos, O., Konofaos, P., Georgiou, P., Chrisostomidis, C., Tsantoulas, Z., Karypidis, D., & Kostakis, A. (2011). Gracilis myocutaneous flap: Evaluation of potential risk factors and long-term donor-site morbidity. Microsurgery, 31(6), 448-453. https://doi.org/10.1002/micr.20899

Gracilis myocutaneous flap : Evaluation of potential risk factors and long-term donor-site morbidity. / Papadopoulos, Othon; Konofaos, Petros; Georgiou, Panos; Chrisostomidis, Chrisostomos; Tsantoulas, Zacharias; Karypidis, Dimitrios; Kostakis, Alkiviadis.

In: Microsurgery, Vol. 31, No. 6, 01.09.2011, p. 448-453.

Research output: Contribution to journalArticle

Papadopoulos, O, Konofaos, P, Georgiou, P, Chrisostomidis, C, Tsantoulas, Z, Karypidis, D & Kostakis, A 2011, 'Gracilis myocutaneous flap: Evaluation of potential risk factors and long-term donor-site morbidity', Microsurgery, vol. 31, no. 6, pp. 448-453. https://doi.org/10.1002/micr.20899
Papadopoulos O, Konofaos P, Georgiou P, Chrisostomidis C, Tsantoulas Z, Karypidis D et al. Gracilis myocutaneous flap: Evaluation of potential risk factors and long-term donor-site morbidity. Microsurgery. 2011 Sep 1;31(6):448-453. https://doi.org/10.1002/micr.20899
Papadopoulos, Othon ; Konofaos, Petros ; Georgiou, Panos ; Chrisostomidis, Chrisostomos ; Tsantoulas, Zacharias ; Karypidis, Dimitrios ; Kostakis, Alkiviadis. / Gracilis myocutaneous flap : Evaluation of potential risk factors and long-term donor-site morbidity. In: Microsurgery. 2011 ; Vol. 31, No. 6. pp. 448-453.
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