Next Article in Journal
Personalized Medicine in the Field of Inflammatory Skin Disorders
Next Article in Special Issue
The Number of Surgical Interventions and Specialists Involved in the Management of Patients with Neurofibromatosis Type I: A 25-Year Analysis
Previous Article in Journal
Clinical and Genetic Predictors of Glycemic Control and Weight Loss Response to Liraglutide in Patients with Type 2 Diabetes
Previous Article in Special Issue
Intra- and Early Postoperative Evaluation of Malperfused Areas in an Irradiated Random Pattern Skin Flap Model Using Indocyanine Green Angiography and Near-Infrared Reflectance-Based Imaging and Infrared Thermography
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
JPM
Volume 12
Issue 3
10.3390/jpm12030427
Review Report
jpm-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

Printed Edition

A printed edition of this Special Issue is available at MDPI Books....
share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
Article
Peer-Review Record

The Free Myocutaneous Tensor Fasciae Latae Flap—A Workhorse Flap for Sternal Defect Reconstruction: A Single-Center Experience

J. Pers. Med. 2022, 12(3), 427; https://doi.org/10.3390/jpm12030427
by Amir Khosrow Bigdeli, Florian Falkner, Benjamin Thomas, Gabriel Hundeshagen, Simon Andreas Mayer, Eva-Maria Risse, Leila Harhaus, Emre Gazyakan, Ulrich Kneser and Christian Andreas Radu *
Reviewer 1:
Raffaele Serra
Reviewer 2:
Marek Paul
J. Pers. Med. 2022, 12(3), 427; https://doi.org/10.3390/jpm12030427
Submission received: 1 February 2022 / Revised: 6 March 2022 / Accepted: 7 March 2022 / Published: 9 March 2022
(This article belongs to the Special Issue Plastic and Reconstructive Surgery in Personalized Medicine)

Round 1

Reviewer 1 Report

The authors aimed at evaluating the feasibility of this free flap for sternal reconstruction by analyzing operative data, surgical complication rates, reconstructive outcomes, and donor-site morbidity. The paper is well written and well structured. Results are relevant. I support for publication in the current format.

Author Response

Please see the attachment.

Author Response File: Author Response.pdf

Reviewer 2 Report

 

The Free Muyocutaneous TFL flap – A Workhorse Flap for Sternal Defect Reconstruction: Single-Center Study.

 

Sternal reconstruction is a debilitating state, especially in patients with comorbidities. The reconstruction possibilities in this region are abundant, like local flaps, perforator flaps, and pedicled Flaps. In my opinion, one of the best options to reconstruct is to use freestyle perforator flaps, but when the patient doesn’t have IMA due to cardiac surgery, and the defect is of the larger area the only option is a free flap.

The free MTF flap is a very good choice, due to its durability and thickness to cover deep wounds.

 

I find this study interesting well organized, statistically well prepared, although this is a retrospective study. The described patient groups are well defined. Despite the low volume of the patents, the study presents a good and versatile option of reconstruction.

The other strength of their study is a long follow-up, even the response rate was quite low.

 

I have only 2 questions:

 

  1. How long was the heparin prescribed postoperatively?
  2. Did you use any intraoperative flap perfusion devices e.g., ICG, etc.?

 

It is recommended to continue the prospective study and a present larger group of cases and would be interesting to compare the outcomes between the different clinical centers and populations, but it shows the direction we should follow.

 

I recommend this manuscript be published as an original article.

Author Response

Please see the attachment.

Author Response File: Author Response.pdf

Back to TopTop