Patients are well informed and seek autogenous breast reconstruction. The motivating factors include a preference for autologous tissue reconstruction and the complementary improvement in body contour, safety concerns surrounding implants,…
Trunk defects can be approached through a multitude of regional flaps that can be harvested from the shoulder girdle, the epigastric axis, the paraspinal region, or the pelvic girdle. The…
Perforator flaps are frequently used for defect coverage for the whole body. There are strong indications for the use of perforator flaps in the upper extremity. This article demonstrates the…
Over the past decade, muscle perforator flaps have proven their versatility as another important option when a soft tissue flap is essential. Valuable as either local or free flaps, these…
The propeller flap, based on a single vascular pedicle supplying a fasciocutaneous island of skin, is a very useful technique to reconstruct soft tissue defects and has wide applications throughout…
The introduction of perforator flaps by Koshima and Soeda in 1989 was met with much animosity in the surgical community. The flaps challenged conventional teaching and were often branded as…
Perforator flaps, since their first description in 1989, have in many ways revolutionized reconstructive surgery. Whereas little more than a decade ago many surgeons were still hesitant to fully trust…
The clinical application of perforator-based flaps for microsurgical breast reconstruction has increased exponentially over the past 10 years. The benefits of the procedure are thought to be that it produces…
The recent enthusiasm for perforator flaps underlines the need for a detailed understanding of the cutaneous vasculature. The principle determinant of success in perforator flap surgery is the inclusion of…
This article reviews historical aspects of flap development, leading up to the exciting recognition of perforator flaps. The role and use of perforator-type flaps in the reconstructive armamentarium is reviewed…
