Nigerian Journal of Plastic Surgery

CASE REPORT
Year
: 2019  |  Volume : 15  |  Issue : 2  |  Page : 44--47

A free gracilis muscle flap for foot resurfacing, the first microsurgical case in a Sub-Saharan African country, Togo


Komla Séna Amouzou, Tete Edem Kouevi-Koko, Gamal Ayouba, Batarabadja Bakriga, Anani Abalo 
 University of Lomé, Department of Surgery, Sylvanus Olympio Teaching Hospital, Lomé, Togo

Correspondence Address:
Komla Séna Amouzou
1, Rue de l’Hopital, PO Box 20752, Lomé
Togo

In Togo, reconstructive management has been based on local and regional flaps. In some severe cases and in cases of failure, only a cross leg flap (if possible) or an amputation would save the patient. It has become vital to move forward in the reconstructive ladder in our setting. We report our first case of free gracilis muscle flap for the reconstruction of a foot defect in a 21-year-old male patient who was presented with a foot laceration due to a road traffic accident. The plastic surgeon had training in microsurgery. For other members of the operative team, this was the first microsurgery procedure. The gracilis muscle was harvested from the contralateral thigh and inset in the defect by microsurgical vascular anastomosis. The flap’s monitoring was done clinically. The post-operative course was uneventful. The muscle flap was resurfaced on day 5 using a split thickness skin graft. The patient was discharged on day 12. Total healing was seen on day 21. The patient was very satisfied with the procedure. The success of this first case represents an optimal motivation to build up a microsurgery team and the debut of microsurgery procedures for patients with difficult defects in Togo.


How to cite this article:
Amouzou K, Kouevi-Koko TE, Ayouba G, Bakriga B, Abalo A. A free gracilis muscle flap for foot resurfacing, the first microsurgical case in a Sub-Saharan African country, Togo.Nigerian J Plast Surg 2019;15:44-47


How to cite this URL:
Amouzou K, Kouevi-Koko TE, Ayouba G, Bakriga B, Abalo A. A free gracilis muscle flap for foot resurfacing, the first microsurgical case in a Sub-Saharan African country, Togo. Nigerian J Plast Surg [serial online] 2019 [cited 2024 Mar 28 ];15:44-47
Available from: https://www.njps.org/article.asp?issn=0794-9316;year=2019;volume=15;issue=2;spage=44;epage=47;aulast=Amouzou;type=0