Maximizing length and safety in gracilis free flap dissection

Publication date: Available online 30 July 2016
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Ian CC. King, Noor Obeid, Alex C. Woollard, Martin E. Jones
We present a photographic illustration of our approach to accessing and releasing the pedicle of the gracilis muscle with a view to maximizing safety and length in this key reconstructive option available to plastic surgeons. This approach requires creation of a window in the fascia on the lateral border of the adductor longus muscle, affording a direct visualization of the medial circumflex femoral artery coming off the profunda femoris. Small proximal branches can be dealt with under greater control and the pedicle released with maximal length and safety.



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