Island vertical trapezius myocutaneous flap procedure under the tumescent technique

O. Papadopoulos, P. Konofaos, V. Medvedev, C. Chrisostomidis

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


We describe the application of local anesthesia with intravenous sedation for covering a large defect of the upper back with the use of the island vertical trapezius myocutaneous flap to an 85-year-old male. According to the anesthesiologist, the patient was graded as ASA IV. A 200-ml solution which consisted of 0.75 mg xylocaine, 2 mg adrenaline (1/2,000,000) and 10 mmol/l sodium bicarbonate in a physiologic saline solution was used. The total operating time was about 90 min. During the first postoperative 24 h, the flap pedicle was checked every hour by Doppler. The postoperative course of the patient was uneventful. We believe that in selected cases, when microsurgery is not indicated due to the general medical condition of the patient, the combination of the tumescent technique with sedation and the vertical trapezius myocutaneous flap can be considered a reliable and low-risk procedure.

Original languageEnglish (US)
Pages (from-to)118-121
Number of pages4
JournalEuropean Surgical Research
Issue number2
StatePublished - Mar 2007
Externally publishedYes


  • Tumescent technique
  • Vertical trapezius myocutaneous flap

ASJC Scopus subject areas

  • Surgery


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