SUMMARY The clinical value of distal ulnar or radial artery adipofascial perforator flaps is shown in a series of 30 patients with severe hand and wrist injuries and major soft tissue defects requiring coverage. There were 22 men and 8 women, aged 16-73 years. The defects were dorsal and/or palmar, with or without transpalmar or transcarpal amputation, or amputation of the thumb and/or the digi...

Sir, This letter is with regards to our article on the ulnar digital artery perforator flap that was published in IJPS recently.[1] Following the publication, another article about a similar flap was bought to our notice. This article by Uchida et al.[2] from Tokyo Medical University, Japan, essentially described the same flap with anatomical studies. We missed this publication in our initial l...

Abstract Background To cover soft tissue defects, the perforator-based propeller flap offers option to rotate healthy into complex wounds. By rotating flap, perforator is torqued. As a result, perfusion changes are possible. Methods A retrospective data analysis of patients was done, who received defects lower extremity as well peri- and postoperative monitoring with laser-Doppler-spectrophotom...

OBJECTIVE Barbed sutures have recently been introduced for closure of surgical incisions. These self-anchoring sutures incorporate evenly spaced barbs in a circumferential distribution along their length, facilitating knotless wound closure and even distribution of tension along the suture line. In this study, we evaluated postoperative complications associated with the use of unidirectional ba...

BACKGROUND Reconstruction of chronic lower extremity wounds remains challenging. These wounds are mainly associated with diabetes mellitus, infections, and osteomyelitis. Although several reconstructive techniques are available, the peroneal artery perforator flap has unique advantages. METHODS In this study, we discuss our experiences with peroneal artery perforator flaps in 55 patients who ...

BACKGROUND The thoracodorsal artery perforator (TDAP) flap has been described for reconstruction of the head and neck, trunk and extremities. Yet, its use as a pedicled flap in breast reconstruction has not gained wide popularity and has not been widely documented, especially not for complete breast reconstruction or in combination with expanders or permanent implants. The authors present their...

For the last decades, the latissimus dorsi skin-muscle flap has contributed to the efficient reconstruction of the loss of skin cover (especially in breast surgery) and in long-distance tissue defects. Unfortunately, the nonuse of such an important muscle as the latissimus dorsi for the patient, as well as the resulting thickness of the flap after reconstruction, has turned it into a second cho...

BACKGROUND The process of harvesting and performing microsurgical anastomosis may lengthen deep inferior epigastric artery perforator (DIEP) flap breast reconstruction affecting results and patient safety. The aim of the study was to investigate the associations between predictors and operative time (OT). METHODS Between 2004 and 2016, 336 immediate and 68 delayed unilateral reconstructions w...

BACKGROUND In cases of bilateral breast reconstruction when the deep inferior epigastric perforator (DIEP) free flap alone does not provide sufficient volume for body-specific reconstruction, stacking each DIEP flap with a second free flap will deliver added volume and maintain a purely autologous reconstruction. Stacking the profunda artery perforator (PAP) flap with the DIEP flap offers favor...

The contractures were released up to the healthy subcutaneous fat. This created wide defects in both the groins. The right side was addressed first. Doppler examination revealed a number of perforators in the upper third of medial thigh. A 12 cm x 6 cm flap was drawn on the medial thigh based on a dominant perforator about 5 cm below the inguinal ligament (Figure 2). The lateral margin of the f...