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Free deepithelialized anterolateral thigh myocutaneous flaps for chronic intractable empyema with bronchopleural fistula  Feng-chou Tsai, MD, Hung-chi.

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Presentation on theme: "Free deepithelialized anterolateral thigh myocutaneous flaps for chronic intractable empyema with bronchopleural fistula  Feng-chou Tsai, MD, Hung-chi."— Presentation transcript:

1 Free deepithelialized anterolateral thigh myocutaneous flaps for chronic intractable empyema with bronchopleural fistula  Feng-chou Tsai, MD, Hung-chi Chen, MD, Samuel Huan-tang Chen, MD, Bruno Coessens, MD, Hui-ping Liu, MD, Yi-cheng Wu, MD, Ping-chang Lin, MD  The Annals of Thoracic Surgery  Volume 74, Issue 4, Pages (October 2002) DOI: /S (02)

2 Fig 1 (A) The initial incision is made 3 cm medial to the straight imaginary line from the anterior superior iliac spine to the superolateral border of the patella. (B) The myocutaneous perforators emit from the branches of lateral circumflex femoral system and pierce the fascia. (C) Retrograde intramuscular dissection is performed along the direction of musculocutaneous perforators with the transection of muscle just around the perforators. (D) The myocutaneous flap before deepithelialization. (E) The flap is put on the uppermost portion of dead space in the lesion site. (F) Donor site can be primarily closed without difficulty if width of cutaneous part is less than 7 cm. The Annals of Thoracic Surgery  , DOI: ( /S (02) )

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