PERFORATOR BASED V-Y ADVANCEMENT FLAPS IN THE LEG

We present a selected group of patients (18) who underwent excision of various malignant skin lesions in the leg, and had the defect resurfa ced with V-Y advancement flaps. The mobility and reliability of this t ype of flap was enhanced by raising it as a fasciocutaneous flap based on one or two leg perforators. As patients were mobilised as soon as they recovered from the operation, there was minimal postoperative mor bidity. This type of flap has the added advantage of leaving no signif icant donor defect and therefore better cosmesis.