BACKGROUND Reconstruction of soft tissue defects in the lower third of the leg remains challenging. Anatomical constraints limit the local options available for complex defects especially lower third of leg. Local flaps based on perforator vessels are raising interest in reconstructive surgery of the limbs. We present our experience with perforator flaps for reconstruction of soft tissue defect...

BACKGROUND During anterolateral thigh flap harvest, inadequate perforators may necessitate modification of the flap design, exploration of the contralateral thigh, or additional flap harvest. Computed tomographic angiography may facilitate perforator mapping and optimize flap design. The authors performed this pilot study to determine the predictive power of computed tomographic angiography in ...

OBJECTIVE Ectopic implantation was first reported by Godina in 1986. We herein present 2 cases in which amputated fingers were salvaged and reconstructed by means of temporary ectopic implantation utilizing perforator anastomoses and chimeric flaps. METHODS Case 1. A 30-year-old man injured his right hand. All of the fingers were completely crushed with the exception of the little finger. We ...

BACKGROUND Perineal defects are commonly encountered during the treatment of conditions such as malignancy, infectious disease, and trauma. Covering large defects in the perineal area is challenging due to its complicated anatomy and the need for functional preservation. METHODS Fourteen patients who underwent reconstructive surgery with multiple perforator flaps for defects >100 cm(2) in the...

BACKGROUND The rotation fasciocutaneous flap for buttock pressure sore coverage has the distinct advantage of allowing rerotation in the event of ulcer recurrence. The authors describe their approach of preserving and incorporating musculocutaneous perforators into the conventional rotation design. METHODS The skin incision is the same as that for the conventional gluteal rotation flap. The f...

Im ag es IMAGES area [2]. Various regional musculocutaneous flaps have played an important role in reconstruction of the posterior trunk [1,2]. However, they have shortcomings of sacrificing underlying muscle and donor site morbidity. Perforator flaps have recently been regarded as a good method for reconstruction of such defects [3,4]. Flap extendibility and less invasiveness without sacrifice...

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...

BACKGROUND Deriving their name from the Greek word plastikos, meaning related to molding, plastic surgeons have made their reputation by transplanting tissues from one area of the body to another to "remold" defects caused by trauma, congenital anomaly, or disease. Dr. Joseph Murray, a plastic surgeon, performed the first successful kidney transplant between identical twins in 1954. The authors...