Anastomosis of the Superficial Inferior Epigastric Vein to the Internal Mammary Vein to Augment Deep Inferior Artery Perforator Flaps

2017 ◽  
Vol 44 (2) ◽  
pp. 361-369 ◽  
Author(s):  
Aparna Vijayasekaran ◽  
Anita T. Mohan ◽  
Lin Zhu ◽  
Basel Sharaf ◽  
Michel Saint-Cyr
Keyword(s):  
Perforator Flaps ◽  
Internal Mammary ◽  
Artery Perforator

Application of Tissue Expansion with Perforator Flaps for Reconstruction of Challenging Skin Lesions

2017 ◽  
Vol 34 (01) ◽  
pp. 013-020 ◽  
Author(s):  
Hainan Zhu ◽  
Zhen Gao ◽  
Mathias Tremp ◽  
Tao Zan ◽  
Qingfeng Li ◽  
...  
Keyword(s):  
Perforator Flap ◽  
Tissue Expansion ◽  
Skin Lesions ◽  
Facial Artery ◽  
Flap Necrosis ◽  
Perforator Flaps ◽  
Collateral Artery ◽  
Internal Mammary ◽  
Artery Perforator

Background One set of perforators can supply its own perforasome as well as the adjacent perforasome. The process of tissue expansion can mimic the effect of surgical delay to include more perforasomes into the perforator flap. By combining the perforasome theory with the technique of tissue expansion, large and various expanded perforator flaps can be achieved. Methods From July 2007 to July 2014, we performed eight different types of expanded perforator flaps in a total of 83 cases: 41 supraclavicular artery perforator flaps, 11 superficial cervical artery perforator flaps, 15 lateral thoracic perforator flaps, 6 internal mammary artery perforator flaps, 6 thoracoabdominal perforator flaps, 2 facial artery perforator flaps, 1 posterior interosseous perforator flap, and 1 ulnar collateral artery perforator flap. During the follow-up period, the survival rate, color, texture, and retraction of the flaps were assessed. Results The dimensions of the flaps ranged from 8 × 6 to 25 × 25 cm. Minor flap necrosis occurred in 20.5% of the cases, and severe flap necrosis developed in 2.4% of the cases. The donor sites were closed primarily in all but three cases. During the follow-up period (average, 13 months; range, 8–18 months), no flap contracture was observed with a good color and texture match. Conclusion By combining the concept of perforasome with the technique of tissue expansion, flaps with large dimensions and reliable blood supply can be achieved, allowing a more flexible design to reconstruct various and challenging skin lesions.

Versatility of Intercostal Artery Perforator Flaps

2005 ◽  
Vol 21 (07) ◽  
Author(s):  
Moustapha Hamdi ◽  
Koenraad Ldanduyt ◽  
Bob DeFrene ◽  
Nathalie Roche ◽  
Phillip Blondeel ◽  
...  
Keyword(s):  
Intercostal Artery ◽  
Perforator Flaps ◽  
Artery Perforator

Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects

Microsurgery ◽  
2014 ◽  
Vol 34 (6) ◽  
pp. 470-474 ◽  
Author(s):  
Shimpei Miyamoto ◽  
Shuji Kayano ◽  
Kenichi Kamizono ◽  
Yutaka Fukunaga ◽  
Junichi Nakao ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Perforator Flaps ◽  
Artery Perforator

Designing Lateral Thoracic Wall Perforator Flaps for Breast Reconstruction Using the Ultrasound

2021 ◽  
Author(s):  
Marzia Salgarello ◽  
Giuseppe Visconti
Keyword(s):  
Breast Reconstruction ◽  
Duplex Ultrasound ◽  
Free Flaps ◽  
Thoracic Wall ◽  
Perforator Flaps ◽  
Thoracodorsal Artery ◽  
The Us ◽  
Latissimus Dorsi Myocutaneous Flap ◽  
Artery Perforator ◽  
Color Duplex Ultrasound

Abstract Background Lateral thoracic flaps represent a precious source for partial and total breast reconstruction, in some cases as first option and in other cases as alternative of free flaps. This article describes the ultrasound (US)-based planning of the lateral thoracic wall perforator adipocutaneous flaps and it reports our experience on 52 consecutive flaps. Patients and Methods From November 2018 to May 2021, 52 consecutive lateral thoracic wall perforator flaps were performed using the US-based method for reconstruction of partial breast defects and total breast reconstruction. High-frequency US was performed in all cases prior to surgery to select the best perforator and design the flap. Results Of the 52 cases, 41 were lateral intercostal artery perforator flaps (78.8%), and 11 were thoracodorsal artery perforator (TDAP) flaps. Of the 11 TDAP flaps, 2 cases were based on the direct cutaneous branch. Moreover, in two other cases clinically scheduled for lateral thoracic perforator flaps due to the presence of an appropriate axillary roll, no suitable local/regional perforators were detected with the preoperative US examination and the latissimus dorsi myocutaneous flap was performed. Conclusion Preoperative planning of these flaps using US speeds the surgery and makes it easier and more efficient. Therefore, it is reasonable that the color duplex ultrasound is the operative surgeon's tool for mapping the lateral thoracic wall perforators and to appropriately plan each flap.

scholarly journals Repair of knee deep burn wound with descending genicular artery-saphenous artery perforator flaps in elderly patients (a STROBE-compliant article)

Medicine ◽  
2018 ◽  
Vol 97 (35) ◽  
pp. e12127
Author(s):  
Wan-feng Zhang ◽  
Ren-chun Huang ◽  
Qiu-fang Gao ◽  
Zi-biao Li ◽  
Ya-jun Ma ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Burn Wound ◽  
Perforator Flaps ◽  
Genicular Artery ◽  
Artery Perforator ◽  
Saphenous Artery

Safe and easy way to reconstruct pressure ulcers: Gluteal artery perforator flaps

2019 ◽  
Vol 27 (4) ◽  
pp. 193
Author(s):  
Burak Yasar ◽  
Cagdas Duru ◽  
HasanMurat Ergani ◽  
Ahmet Kaplan ◽  
Murat Igde ◽  
...  
Keyword(s):  
Pressure Ulcers ◽  
Perforator Flaps ◽  
Artery Perforator
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