Great and innovative demonstration , sir. Often we do it ourselves but fail to explain the exact calculations when somebody wants to know . You have made an impossible to be possible . Thanks a lot.
Thank you for this. Is the same principle of marking this flap , with triangulation etc applicable on all areas of the body, including the leg? I have seen that many surgeons mark the flap without triangulation, especially for leg defects... Hence asked
Sir what should be plane of dissection while doing a transpositional flap on scalp... for a 5cm traingular temporal defect can adjacent scalp be rotated based on supraorbital, supratroclear arteries..
I understand. You want to know why D-F needs to be long, when actually only C-E must be long. When the flap transposes, it loses some length in the process, and that is the reason why both C-E and D-F need to be long enough, to counter this apparent loss of length that occurs.
Sir, with due respect, Very innovative idea... now DNB as well as MCH trainees will find it easier to get basics about these flaps ... you have included all minute details in the planing and execution... We do many of the tricks while operating ... but fail to explain it when we are confronted with examiners... But now .. you are making examiners’ job difficult! 😅
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Great and innovative demonstration , sir. Often we do it ourselves but fail to explain the exact calculations when somebody wants to know . You have made an impossible to be possible . Thanks a lot.
Thank you for this. Is the same principle of marking this flap , with triangulation etc applicable on all areas of the body, including the leg?
I have seen that many surgeons mark the flap without triangulation, especially for leg defects... Hence asked
Yes, same principles apply anywhere in the body. But as we go along we all tend to make some slight modifications.
should'nt area of tissue between A,B,E be excised before transposing ???
Yes, will have to be, sometimes.
Sir what should be plane of dissection while doing a transpositional flap on scalp... for a 5cm traingular temporal defect can adjacent scalp be rotated based on supraorbital, supratroclear arteries..
The flap needs to be raised at the plane of loose areolar tissue, superficial to the periosteum.
Hello! Why line D- F is so long? Shouldn't be it a little bit shorter? For example of a length of line D-B?
I understand. You want to know why D-F needs to be long, when actually only C-E must be long. When the flap transposes, it loses some length in the process, and that is the reason why both C-E and D-F need to be long enough, to counter this apparent loss of length that occurs.
great description! thank you! however, you did not mention that the base:length-ratio should't be greater than 1:3 right?
Yes, that is also important. Thank you @ leo stark
Thank you sir...Comprehensive tutorial
You are most welcome
Sir, with due respect,
Very innovative idea...
now DNB as well as MCH trainees will find it easier to get basics about these flaps ... you have included all minute details in the planing and execution...
We do many of the tricks while operating ... but fail to explain it when we are confronted with examiners...
But now .. you are making examiners’ job difficult! 😅
Thank you for your positive feedback sir! On the lighter side, it will take examiners to the next higher level, if students get a level higher!
Sir kindly mention the thickness of this sponge that will fold simulates the tissue?
1 cm thickness, and soft type.
Super