Superior Gluteal Artery Perforator Flap: an Alternative in the Treatment of Complicated Pilonidal Sinus*

Breast reconstruction with the profunda artery perforator flap.

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...

Porcine Model for Gluteal Artery Perforator Flap: Anatomy and Technique

1 BACKGROUND Although flap anatomy is well studied on cadavers and microsurgical techniques are well practiced on rats, still there are few training models for learning the techniques of perforator flap harvesting. The cadaver has no bloodstream, so accuracy of dissection cannot be evaluated and flap viability cannot be verified. Training on humans carries a high risk of flap damage. A living m...

The evolution of perforator flap breast reconstruction: twenty years after the first DIEP flap.

It is over 20 years since the inaugural deep inferior epigastric perforator (DIEP) flap breast reconstruction. We review the type of flap utilized and indications in 2,850 microvascular breast reconstruction over the subsequent 20 years in the senior author's practice (Robert J. Allen). Data were extracted from a personal logbook of all microsurgical free flap breast reconstructions performed b...

Reconstruction of an Irradiated Perineal Wound With a Superior Gluteal Artery Perforator Flap

Application and refinement of the superior gluteal artery perforator free flap for bilateral simultaneous breast reconstruction.

BACKGROUND The gluteal artery perforator free flap represents the state of the art in autogenous breast reconstruction for the patient with insufficient abdominal donor tissue. Preservation of the gluteal musculature limits morbidity and allows for rapid patient recovery. The need for intraoperative repositioning has historically limited gluteal artery perforator flap breast reconstruction to o...