Reconstructive Surgery

Question 1

Define: Skin Flaps

Answer 1

Skin and SQ tissue
Maintain a vascular attachment
Moved from one area of the body to another

Question 2

Define: Skin Grafts

Answer 2

Free skin and SQ tissue
NO vascular attachment
Moved from one area of the body to another
Survive the first 48h by absorbing tissue fluid from the recipient bed, ultimately reestablish a blood supply

Question 3

Axial Pattern Flaps

Answer 3

Blood supply: arterial pedicle flap, known artery and veins that supply tissue

Question 4

Subdermal Plexus Flaps

Answer 4

Blood supply: terminal branches of direct SQ tissue, associated with panniculus muscle layer

Question 5

Principles: Subdermal Skin Flaps

Answer 5

Base of flap should never be narrower than the body
Length of the flap 1-3x width of base

Question 6

Advancement Flap

Answer 6

Question 7

Rotational Flap

Answer 7

Question 8

Transpositional Flap

Answer 8

Question 9

Inguinal fold flap

Answer 9

Question 10

Axillary Fold Flap

Answer 10

Question 11

Considerations: Axial Pattern Flaps

Answer 11

Meticulus planning
Delicate tissue handling
Tension free closure
Healthy recipient bed
2 layer closure
Active suction drains

Question 12

Thoracodorsal flap

Answer 12

Question 13

Indications: Thoracodorsal Flap

Answer 13

Thorax
Axillary
Shoulder
Elbow
Carpus (cat)

Question 14

Indications: Caudal Superficial Epigastric Flap

Answer 14

Inner thighs
Flank
Stifle
Perineum
Preputial area
Tarsus (cat)

Question 15

Complications: Axial Pattern Flaps

Answer 15

Seroma
Bruising
Flap edema
Incisional dehiscence
Flap necrosis