Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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264 Surgery and Healing in the Developing World
Figure 41. Fascio-cutaneous flap.
Showing application of flap to
area on left medial ankle.
Figure 42. Fascio-cutaneous flap.
Healing on the same patient 2 weeks
later.
10.The dressings are usually undisturbed for the first week when the operative
areas are cleansed and dressed daily.
11.The split-thickness skin donor area on the anterior or posterior thigh is
taken down to the single nonstick layer overlying the donor area after the
first week. It is then left undisturbed.
12.The flap is divided at 3 weeks and the transferred pedicle can be used and
inset on the recipient lower leg if no dissection or manipulation is done.
The Reverse Flow Posterior Calf Same Leg Fascio-Cutaneous
Flap
This flap is identical to the previous one except that its base is distal. The distal
blood supply must be left undisturbed. It is used for nonhealing ulcerations of the