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Unusual case of a free anterolateral thigh flap partial necrosis in a COVID-19 positive young male following extremity reconstruction.
Chakraborty, Sourabh Shankar; Malhotra, Anjana; Shah, Urvi Ashok; Babu, Shylesh Ramesh; Dandekar, Puja Bhaurao; Kumar, Doddi Avinash; Prakash, Chindarkar Himanshu.
Afiliación
  • Chakraborty SS; Department of Burn & Plastic Surgery, All India Institute of Medical Sciences, Kalyani, West Bengal, 741245, India. Electronic address: sourabh.chakraborty86@gmail.com.
  • Malhotra A; Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, 700043, India.
  • Shah UA; Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, 700043, India.
  • Babu SR; Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, 700043, India.
  • Dandekar PB; Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, 700043, India.
  • Kumar DA; Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, 700043, India.
  • Prakash CH; Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, 700043, India.
Chin J Traumatol ; 26(5): 308-310, 2023 Sep.
Article en En | MEDLINE | ID: mdl-36858870
ABSTRACT
Free flap procedure provides an overall success rate of 97%, which decreases to 85% in hypercoagulable states. COVID-19, as a pro-thrombotic disorder, therefore seems detrimental to free flap survival. We encountered a case of unique pattern of free flap partial failure in a young male who underwent extremity reconstruction. The patient was diagnosed as COVID-19 positive on the 3rd day post-reconstruction. The flap survived well for the first 7 days post-operatively, but gradually the skin got necrosed and the subcutaneous fat layer was preserved when debriding. To our knowledge, this is the only case in which the skin of the free flap of a COVID-19 positive patient was necrosed almost entirely subsequently, while the subcutaneous fat was relatively preserved.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Vasculares / Procedimientos de Cirugía Plástica / Colgajos Tisulares Libres / COVID-19 Límite: Humans / Male Idioma: En Revista: Chin J Traumatol Asunto de la revista: TRAUMATOLOGIA Año: 2023 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Vasculares / Procedimientos de Cirugía Plástica / Colgajos Tisulares Libres / COVID-19 Límite: Humans / Male Idioma: En Revista: Chin J Traumatol Asunto de la revista: TRAUMATOLOGIA Año: 2023 Tipo del documento: Article