Novel Windmill Nonischemic Free Bilateral Deep Inferior Epigastric Perforator Flap for Extensive Defect Reconstruction.

ABSTRACT: Reconstructing extensive lower extremity soft tissue defects can present significant challenges for plastic surgeons. Determining a donor site for a flap of adequate surface area to cover critical structures while minimizing donor-site morbidity is difficult. We describe a novel windmill nonischemic free bilateral deep inferior epigastric perforator (DIEP) flap as a suitable option for the reconstruction of extensive lower extremity defects. Our patient is a 59-year-old man with a body mass index of 36 kg/m² and a history of 23 kg weight loss after gastric sleeve placement. He presented to our service from the level 1 trauma center after sustaining a high-intensity crush injury to the right lower extremity and undergoing orthopedic reconstruction, which was complicated by wound

SUBMITTER: Loper MH 

PROVIDER: S-EPMC11884832 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature