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The Combined Use of Liposuction and Arthroscopic Shaver in Contouring Lower Limb Fasciocutaneous Flaps

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Liposuction

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Abstract

The goals of reconstruction in the lower limb are to restore ambulation and enable the patient to use normal footwear. Free fasciocutaneous flaps provide pliable protection and gliding of tendons but have problems with contour and bulk. Combination of liposuction and arthroscopic shaving to remove fatty and fibrous tissue achieve effective flap contouring in a single session. Perform the procedure at least 5 months post-reconstruction to allow for neovascularization and reduction in swelling. Subepidermal and dermal vascular plexuses must be preserved. Suction drains and compression garments should be used postoperatively. Hematoma and superficial skin loss are the most common complications.

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Author information

Authors and Affiliations

  1. Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore

    Adrian SH Ooi MBBS, MRCS (Ed), MMed (Surg) & Yee Siang Ong MBBChir, FAMS (Plastic Surgery)

Authors
  1. Adrian SH Ooi MBBS, MRCS (Ed), MMed (Surg)
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  2. Yee Siang Ong MBBChir, FAMS (Plastic Surgery)
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Corresponding author

Correspondence to Adrian SH Ooi MBBS, MRCS (Ed), MMed (Surg) .

Editor information

Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

  2. Department of Plastic Surgery, Regional Hospital-Ancona, Ancona, Italy

    Alberto Di Giuseppe

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Ooi, A.S., Ong, Y.S. (2016). The Combined Use of Liposuction and Arthroscopic Shaver in Contouring Lower Limb Fasciocutaneous Flaps. In: Shiffman, M., Di Giuseppe, A. (eds) Liposuction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48903-1_56

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  • DOI: https://doi.org/10.1007/978-3-662-48903-1_56

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48901-7

  • Online ISBN: 978-3-662-48903-1

  • eBook Packages: MedicineMedicine (R0)

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