Dissection of the small perforating vessels through the muscle/septum can be difficult, and microsurgical success is closely linked on a clear and well-magnified field vision. Since 2004, Varioscope M5 has been employed in our Plastic Surgery Departments. It is the first and only head-mounted microscope. In this study was examined 10 patients underwent to reconstructive procedures by harvest of...

BACKGROUND This study investigated the quality of life of Chinese patients with malignant tumors who had undergone immediate free flap reconstruction surgery. In addition, we compared 2 groups of patients: those who had received radial forearm free flap surgery and others who had received free anterolateral thigh perforator flap surgery. METHODS Quality of life was assessed using the Medical ...

BACKGROUND Defects of the Achilles tendon region still represent a tricky issue in lower limb surgery. Among the several reconstructive possibilities, local propeller perforator flaps have gained popularity in the last decade. MATERIALS AND METHODS We report our experience with eight patients affected by small-to-moderate soft-tissue defects of the Achilles tendon region, who underwent surgic...

Background: Plastic and reconstructive surgeons consider a variety of options to salvage limbs patients when operating on soft tissue defects the plantar forefoot in diabetic foot ulcers. This study focuses efficacy durability perforator flaps compared that random flaps, covering area patients.<br/>Methods: From January 2011 August 2020, we performed 49 reconstructions cover diabetes usin...

Introduction: Several studies report good results of single perforator flap transfers for reconstruction of soft-tissue defects at the lower leg and the foot. The novel aspect of our study is application on combination of hinged perforator flaps transfers in high-risk patients with post-traumatic osteomyelitis. Materials and Methods: The study was conducted as a retrospective clinical trial fro...

BACKGROUND The reconstruction of ankle and heel defects remains a significant problem for plastic surgeons. The following options exist for reconstructing such defects: local random flaps, reverse flow island flaps, and free flaps. However, each of these methods has certain drawbacks. Peroneal artery perforators have many advantages; in particular, they are predictable and reliable for ankle an...

BACKGROUND For some patients seeking autologous breast reconstruction, there may be insufficient abdominal skin and soft tissue to reconstruct an adequately sized breast. Perfusion from a single-pedicle deep inferior epigastric perforator artery flap has a high degree of variability across the midline, and this further limits perfusion. We have found that bipedicle-conjoined abdominal perforato...

BACKGROUND A thin perforator flap is one of the best methods for covering defects. This study aimed to revisit and further test the rapidly advancing field of flap thinning techniques. METHODS We performed two cadaveric studies to test the known flap thinning methods, and then applied these methods to a clinical series. In the first study, five cadavers were used to observe the anatomical rel...