BACKGROUND Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. METHODS We retrospectively...

BACKGROUND The aim for microsurgical reconstruction has broadened from achieving functional to also providing good esthetic outcomes. The perforator flaps are widely used for this goal. However, perforator flaps can still be bulky especially to resurface the skin defect. We hypothesized that elevation from the superficial fascial plane can obtain a thin and viable flap. METHOD In this retrosp...

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 ...

OBJECTIVE To determine systematically the pattern of the cutaneous perforator of the lateral circumflex femoral artery (LCFA) in anterolateral thigh perforator (ALT) flap. MATERIAL AND METHOD Sixty dissections of the LCFA were carried out in 30 preserved cadavers. The number; type, origin, and location of the cutaneous perforators of the LCFA were studied and measured. RESULTS There were 16...

With the patient remaining in a supine position throughout surgery, the left mastectomy with skin excision was performed. Planning in reverse, a fasciocutaneous flap from the contralateral breast based on the right 2nd internal mammary artery perforator was designed. The flap was raised in the mastectomy plane, isolated on the perforator, and transposed into the defect in a propeller fashion. T...

With the patient remaining in a supine position throughout surgery, the left mastectomy with skin excision was performed. Planning in reverse, a fasciocutaneous flap from the contralateral breast based on the right 2nd internal mammary artery perforator was designed. The flap was raised in the mastectomy plane, isolated on the perforator, and transposed into the defect in a propeller fashion. T...

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 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...

Objective To describe the characteristics of the perforator vessel in the peroneal artery of the lower leg and to explore the use of perforator pedicle propeller flaps to repair soft tissue defects in the lower leg, heel and foot. Methods This retrospective study enrolled patients with soft tissue defects of the distal lower leg, heel and foot who underwent surgery using peroneal perforator-bas...

BACKGROUND There continues to be controversy about performing abdominoplasty concurrently with abdominal liposuction. The concern is that liposuction on the already vascularly compromised abdominal flap will lead to increased complications and flap necrosis. The central abdomen is supplied by the epigastric system. If perforator vessels from this system are spared, the blood supply to the abdom...