Prophylactic Venous Supercharged Radial Collateral Artery Perforator Propeller Flap: Improved Outcome in Perforator Propeller Flaps

Lower limb perforator propeller flaps - clinical applications.

BACKGROUND A great variety of flaps have been used in lower limb reconstructive surgery: random pattern flaps, axial flaps and free microsurgical transfers with many variants. After further research on the cutaneous blood supply and improvement of microsurgical techniques, perforator propeller flaps began to be studied and used. MATERIAL AND METHOD A propeller flap is defined as an insular fl...

Thinning: The Difference between Free and Propeller Perforator Flaps

into a short “handle”. This was a full-thickness skin bridge at the pivot point where the proximal flap was rotated 180 degrees downward towards the recipient site. The bridge acted to offer cutaneous and subcutaneous continuity and maintained an intact subdermal plexus to serve as additional channel for venous drainage [2]. After the flap was transposed to the knee, a vein graft was utilised t...

Ergonomics and Biogeometry of Perforator/Propeller Flaps in the Lower Limb Reconstruction

Bilateral Breast Reconstruction with Extended Thoracodorsal Artery Perforator Propeller Flaps and Implants

We present our experience of bilateral total breast reconstruction using a double-sided extended thoracodorsal artery perforator propeller flap in a case series of 10 patients. Reconstruction was successfully achieved in all cases with few complications. The median time for surgery was 275 minutes (200-330), and the average implant size used was 350 cm(3) (195-650). We demonstrate how the exten...

Reconstruction after Anterior Chest Wall Keloid Resection Using Internal Mammary Artery Perforator Propeller Flaps

It is difficult to completely resect huge anterior chest wall keloids and then close the wound directly. We report here our retrospective analysis of our case series of patients with such keloids who underwent reconstruction with internal mammary artery perforator (IMAP) pedicled propeller flaps and then received postoperative high-dose-rate superficial brachytherapy. METHODS All consecutive ...