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Fig. 3 | BMC Surgery

Fig. 3

From: Treatment of deep cavities using a perforator-based island flap with partial de-epithelization

Fig. 3

A patient (age range 30–39 years) with a cutaneous fistula on the lower abdomen. (Upper left) A 4 × 4 cm cutaneous opening with a 9 cm length deep cavity obliquely oriented beneath the pelvic bone, was seen. An island flap was designed near the wound. (Upper right) The portion that would be inserted into the cavity, was de-epithelized. (Center left) The flap was transposed with its intact portion on the opening of the wound, while the de-epithelized portion was placed into the cavity. (Center right) The flap showed temporary congestion, and leech therapy was applied for a short duration. (Below) The wound healed without any problems

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