Introduction: Perforator-based flaps can be planned in any anatomic location the body when there is a detectable perforator. Although preoperative perforator mapping ensures safety and versatility of these flaps, no consensus yet about flap planning different anatomical locations.
 Material Method: 28 patients underwent perforator-based surgery for locations as face (5), sternum (3), back ...

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 AND PURPOSE Patterns and mechanisms of stroke in patients with atherosclerotic middle cerebral artery (MCA) disease remain unclear. We sought to identify lesion patterns and stroke mechanisms associated with MCA disease using early diffusion-weighted imaging (DWI). METHODS We reviewed 185 acute ischemic stroke patients who had (1) symptomatic lesions located in the unilateral MCA t...

T husday, M ay 6, 2016 retrograde IMV except one patient who used the IMV and an IMV perforator. Over the time period, there was an increasing use of perforator DIEP and SIEA flaps as well as the use of the IMV as recipients. Complications included delayed wound healing (n=5), abdominal bulge (n=2), cellulitis (n=3), seroma (n=2), and fat necrosis (n=3). There was one partial flap loss where th...

T husday, M ay 6, 2016 retrograde IMV except one patient who used the IMV and an IMV perforator. Over the time period, there was an increasing use of perforator DIEP and SIEA flaps as well as the use of the IMV as recipients. Complications included delayed wound healing (n=5), abdominal bulge (n=2), cellulitis (n=3), seroma (n=2), and fat necrosis (n=3). There was one partial flap loss where th...

1:00pm 1:04pm Single Perforator Harvest of the Deep Inferior Epigastric Artery Perforator Flap Results in Tissue Hyperperfusion Chrisovalantis Lakhiani, MD; Angela Cheng, MD; Michael Mangum; Karel Zuzak; Sumeet Teotia, MD; Michel Saint-Cyr, MD; (1)University of Texas Southwestern Medical Center, (2)UT Southwestern Medical Center, (3)Mayo Institution where the work was prepared: University of Te...

813 free perforator flap surgery and always have a second option in mind in case of flap failure. Further, a sufficient understanding of the wound characteristics, donor and recipient vessels, and design for insetting should precede the surgery. Lastly, the skin graft over the muscle flap is less durable than the fasciocutaneous flap and tends to form a callus. To prevent this complication, a p...

Autologous breast reconstruction utilizing a perforator flap is an increasingly popular method for reducing donor site morbidity and implant-related complications. However, aberrant anatomy not readily visible on computed tomography angiography is a rare albeit real risk when undergoing perforator flap reconstruction. We present an operative case of a patient who successfully underwent a bilate...

In parallel computer systems with a number of processors, external fragmentation is caused by continuous allocation and deallocation of processors to tasks which require exclusive use of several contiguous processors. With this condition, the system may not be able to find contiguous processors to be allocated to an incoming task even with a sufficient number of free processors. Relocation is a...

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 ...