A perforator flap is a piece of skin and subcutaneous (fatty) tissue that is transferred from one part of the body to another in the same person so called autologous transplantation. In plastic surgery, perforator flaps are often used to reconstruct or to close defects due to trauma, tumor resection, and pressure sores. A transplanted perforator flap relies on its blood supply from one artery a...

INTRODUCTION The deep inferior epigastric artery perforator free flap is the gold standard for autologous breast reconstruction. However, using a single vascular pedicle may not yield sufficient tissue in patients with midline scars or insufficient lower abdominal pannus. Double-pedicled free flaps overcome this problem using different vascular arrangements to harvest the entire lower abdominal...

Im ag es IMAGES area [2]. Various regional musculocutaneous flaps have played an important role in reconstruction of the posterior trunk [1,2]. However, they have shortcomings of sacrificing underlying muscle and donor site morbidity. Perforator flaps have recently been regarded as a good method for reconstruction of such defects [3,4]. Flap extendibility and less invasiveness without sacrifice...

BACKGROUND Deriving their name from the Greek word plastikos, meaning related to molding, plastic surgeons have made their reputation by transplanting tissues from one area of the body to another to "remold" defects caused by trauma, congenital anomaly, or disease. Dr. Joseph Murray, a plastic surgeon, performed the first successful kidney transplant between identical twins in 1954. The authors...

BACKGROUND During anterolateral thigh flap harvest, inadequate perforators may necessitate modification of the flap design, exploration of the contralateral thigh, or additional flap harvest. Computed tomographic angiography may facilitate perforator mapping and optimize flap design. The authors performed this pilot study to determine the predictive power of computed tomographic angiography in ...

Objective: Abdominal based free flaps such as the Transverse Rectus Abdominis Myocutaneous (TRAM) flap and Deep Inferior Epigastric Perforator (DIEP) flap are essential tools in the reconstructive armamentarium post mastectomy. These reconstructions are often prolonged, complex and associated with complications. This study aims to compare the complication rate, particularly focusing on perioper...

Introduction The need for an appropriate flap cover to protect vital structures, restore and preserve function and aesthetics of the hand following tissue loss remains a challenge to the reconstructive hand surgeon. Following the description of the angiosome concept by Taylor and Palmer and the pioneering work of authors such as Koshima & Soeda, Kroll, and Rosenfield, in the late 1980s, the per...

BACKGROUND The anterolateral thigh perforator flap is a well-described and versatile flap that has specific advantages. However, the variable anatomy makes flap elevation challenging. Furthermore, the dissection of the proximal part of the pedicle that runs underneath the rectus femoris muscle demands continuous pull by an assistant and is inconvenient and tiring for the surgeon. A technique th...

BACKGROUND The emergence of breast-conserving surgery combined with radiotherapy as the treatment of choice for early stage breast cancer has resulted in greater focus on oncoplastic breast surgery. The use of perforator flaps has particularly gained in reputation for its effectiveness in the reconstruction of partial breast defects in Korean women. Herein, we present our experience with the us...