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...

N and classification of compound perforator flaps can be as complex and convoluted as the vascular anatomy of these multicomponent flaps. The article “The Complete Nomenclature for Combined Perforator Flaps”1 presents the author’s proposed classification and standardized nomenclature for combined perforator flaps. I believe that the author’s classification of compound perforator flaps as either...

BACKGROUND The use of perforator flaps has allowed for the transfer of large amounts of soft tissue with decreased morbidity. For breast reconstruction, the deep inferior epigastric perforator flap, the superior and inferior gluteal artery perforator flaps, and the transverse upper gracilis flap are all options. The authors present an alternative source using posterior thigh soft tissue based o...

OBJECTIVE To create a comprehensive algorithmic approach to reconstruction after vulvar cancer ablative surgery, which includes both traditional and perforator flaps, evaluating anatomical subunits and shape of the defect. METHODS We retrospectively reviewed 80 cases of reconstruction after vulvar cancer ablative surgery, performed between June 2006 and January 2016, transferring 101 flaps. W...

INTRODUCTION: A long vascular pedicle is necessary for successful reconstruction of traumatic or diabetic feet. To obtain a longer vascular pedicle in perforator flaps, surgeons often use eccentrically rather than centrally located perforators.1-4 The aim of this study was to compare the safety and reliability of thoracodorsal artery perforator flaps harvested with centrally or eccentrically lo...

BACKGROUND Advances in autologous breast reconstruction continue to mount and have been fueled most substantially with refinement of perforator flap techniques. METHODS For patients with a desire for autogenous breast reconstruction and insufficient abdominal fat for conventional abdominal flaps, secondary options such as gluteal perforator flaps or latissimus flaps are usually considered. Pa...

BACKGROUND The profunda artery perforator flap has been emerging as an alternative method of autologous breast reconstruction. This flap uses upper posterior thigh tissue. The profunda artery perforator perforasome is investigated using three-dimensional computed tomographic angiography. METHODS Ten cadaveric thighs were dissected centered over the profunda artery perforator. The perforator w...

Perforator flaps represent the latest in the evolution of soft tissue flaps. They allow the transfer of the patient’s own skin and fat in a reliable manner with minimal donor-site morbidity. The powerful perforator flap concept allows transfer of tissue from numerous, well-described donor sites to almost any distant site with suitable recipient vessels. The inferior gluteal artery perforator (I...

BACKGROUND An animal model of a distal pedicled sural neurocutaneous flap for experimental research has not previously been established. The purpose of this study was to construct a sural neurocutaneous vascular flap model in the rabbit. MATERIALS AND METHODS Thirty-five New England rabbits were divided into four groups. Five rabbits in Group A were used for an anatomical study. Red latex and...

The local fasciocutaneous flap has the advantage of low donor-site morbidity when used for the coverage of lower limb defects. However, flap reliability remains a major problem with its use. The purpose of this study was to determine the feasibility of preserving perforators to the tip of conventional local fasciocutaneous flaps to improve its vascularity. The technical considerations of raisin...