Revista chilena de cirugía
versão ISSN 0718-4026
LOMBARDI A, JUAN JOSÉ et al. Experience using turn over flap in patients at the Hospital del Trabajador de Santiago: a valid alternative. Rev Chil Cir [online]. 2011, vol.63, n.4, pp. 368-372. ISSN 0718-4026. doi: 10.4067/S0718-40262011000400006.
Background: The plastic surgeon is frequently faced with need of choosing from a variety of local and distant flaps for the coverage of difficult wounds. In 1981, Thatte described a local flap consisting in a random pattern deepithelialized flap adjacent to the lesion rotated in 180° with a dermoepidermal graft to cover the flap and donating zone. Objective: To present the experience of the Plastic Surgery and Burns Unit of the Hospital del Trabajador de Santiago with the use of this flap. Material: Retrospective study of 16 Turn Over flaps in 15 patients. Results: The complications recorded were 1 case of graft loss and 2 partial lost of the flap. We didn't observe complications directly related to the flap. Conclusions: This type of flap is another therapeutic alternative in certain cases. Rate Base: Length = 1:2 is appropriate to ensure irrigation.
Palavras-chave : Surgical flaps; reconstructive surgical procedures; turnover flap.