Our experience with Anterolateral Thigh flap in Public sector Tertiary care Hospital

Dr. Gurram.Rangaswamy; Dr. Arige.Subodh kumar; Dr.Gurram.Manjula; Dr. Pokkula. Ramesh

Volume : V, Issue : VIII, August - 2016

Our experience with Anterolateral Thigh flap in Public sector Tertiary care Hospital

Dr. Gurram. Rangaswamy, Dr. Arige. Subodh Kumar, Dr. Gurram. Manjula, Dr. Pokkula. Ramesh

Abstract :

 Introduction:Some of the compound skin defects need free flap cover. Anterolateral thigh flap can be used either as a pedicled or a free flap. Free flap surgery is difficult in a Public sector hospital with constraints of resources. Aims: To study the perforator type, the types of the flap used and the feasibility in public sector hospital. Materials and Methods: 25 patients with compound defects were given cover with anterolateral thigh flap in Gandhi Hospital between 2005 and 2008.Results: Perforator was single in 72%, correlated with the Doppler finding in 68%and was musculocutaneous in 64%. 60% were raised as faciocutaneous, size between 8 X 7 cm and 25 x 12cm, with pedicle length between 6 and 8.5cm.suceess rate 88%. Conclusion: –Anterolateral thigh flap is versatile flap can be used with as free flap pedicled flap, as a faciocutaneous or musculocutaneous flap. Persistence, determination, perseverance, can definitely lead to success of flap and is feasible in public sector hospitals