Abstract

WOLFF I, G.A.; VARGAS, E.  and  POSSO, C.M.. A new clinical experience: the delayed reverse saphenous flap. Cir. plást. iberolatinoam. [online]. 2010, vol.36, n.4, pp.335-343. ISSN 1989-2055.

Complex soft tissue defects of the distal third of the leg and foot represent a challenge in the reconstructive. The internal saphenous flap is a frequently used option for lower leg reconstruction because its versatility and minimal donor site morbidity. The commonly known delay procedure is an alternative. The concept of delay was clearly explained years ago, but still there is no consensus about the surgical technique and the delay period. This report presents our experience with delayed reverse saphenous flaps in 2 cases where acute vascular compromise was evident when the flap was rotated to the defect. The delay period was between 7 to 10 days. All flaps survived.Only one complication was presented in one of the flaps showing minimal necrosis that was debridated on the second procedure. As a conclusión, the delay procedure used in regional flaps for soft tissue coverage of lower leg and foot, is a useful tool in order to reduce vascular complication rates. Our experience with delayed reverse saphenous flaps, reported for the first time to our knowledge, confirms the utility of this procedure, proving that even when there are vascular risk factors, this flap modification is a successful alternative for lower leg and foot reconstruction.

Keywords : Lower leg reconstruction; Internal saphenous flap; Delay procedure; Vascular complications.

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