Abstract Background To cover soft tissue defects, the perforator-based propeller flap offers option to rotate healthy into complex wounds. By rotating flap, perforator is torqued. As a result, perfusion changes are possible. Methods A retrospective data analysis of patients was done, who received defects lower extremity as well peri- and postoperative monitoring with laser-Doppler-spectrophotom...

Partial breast reconstruction using perforator flaps harvested from the lateral chest wall has become a well-established surgical technique recently. In the case of a partial mastectomy with an axillary lymph node dissection, there are 2 main defects; one is a partial breast defect and the other is an axillary dead space. To reconstruct the 2 separate defects with local flaps, basically 2 diffe...

BACKGROUND In Korean women, many of whom have small to moderate-sized breasts, it is difficult to cover a partial breast defect using oncoplastic volume displacement techniques after removal of an adequate volume of tissue during oncologic surgery. In such cases, oncoplastic volume replacement techniques are more useful. METHODS From January 2007 to December 2011, 104 women underwent a total ...

BACKGROUND Reconstruction of chronic lower extremity wounds remains challenging. These wounds are mainly associated with diabetes mellitus, infections, and osteomyelitis. Although several reconstructive techniques are available, the peroneal artery perforator flap has unique advantages. METHODS In this study, we discuss our experiences with peroneal artery perforator flaps in 55 patients who ...

Anterolateral thigh flap (ALT flap) is first found and used by Song in 1984. Classified the perforator type flaps, ALT flaps blood supplied perforators of descending branch lateral circumflex artery. The choice many cases, those need a large soft tissue for reconstruction, especially cervico facial area thanks to advantages flap: constants relievable anatomic structure, supply, flexible use as ...

This report describes our experiences using the superior gluteal artery perforator (SGAP) flaps for reconstruction of 2 sacral sore cases. A 47-year-old female patient and a  38-year-old man with sacral sores were treated in our unit. The size of the defects were approximately 5×6 cm2  and 8×9 cm2, the  defects were repaired by SGAP flaps. The size of designed was  SGAP flaps varied from  7×20 ...

Perforator flaps allow the transfer of the patient's own skin and fat in a reliable manner with minimal donor site morbidity. For breast reconstruction, the abdomen typically is our primary choice as a donor site. The deep inferior epigastric perforator (DIEP) flap remains our first choice as an abdominal perforator flap and has become a mainstay for the repair of mastectomy defects. It allows ...