Superior Gluteal Artery Perforator Flap
Superior Gluteal Artery Perforator Flap Lauren M. Mioton Gregory A. Dumanian DEFINITION The superior gluteal artery flap is relevant to the treatment of pressure ulcers, coverage of the lower lumbar…
Reconstructive microsurgery
Repair of Flank and Lumbar Defects
Repair of Flank and Lumbar Defects Sergey Y. Turin Chad A. Purnell Gregory A. Dumanian DEFINITION A defect in the flank/lumbar region of the abdominal wall can be a challenging…
Erector Spinae (Paraspinous) Muscle Flap
Erector Spinae (Paraspinous) Muscle Flap Lauren M. Mioton Gregory A. Dumanian DEFINITION The erector spinae muscle flap is used for coverage of spinal wounds. ANATOMY The erector spinae, also known…
Tensor Fascia Lata Flaps for Trochanteric Ulcers
Tensor Fascia Lata Flaps for Trochanteric Ulcers Terri A. Zomerlei Jeffrey E. Janis DEFINITION Trochanteric ulcers are common in chronically bed-bound patients who lie in the lateral position. Patient populations…
Posterior Thigh and Hamstring Flaps for Ischial Ulcers
Posterior Thigh and Hamstring Flaps for Ischial Ulcers John Hulsen Jeffrey E. Janis DEFINITION A pressure injury is localized damage to the skin and soft tissue typically over a bony…
Gluteal Flaps for Sacral Pressure Injuries
Gluteal Flaps for Sacral Pressure Injuries Terri A. Zomerlei Jeffrey E. Janis DEFINITION Sacral pressure injuries are common in chronically supine patients. Patient populations most at risk include those in…
Gender-Affirming Surgery
Gender-Affirming Surgery Katherine M. Gast William M. Kuzon Jr DEFINITION Gender dysphoria is the incongruence between anatomic sex and gender identity. It is estimated to affect 1.4 million Americans, or…
Gracilis Flap for Perineal and Vaginal Reconstruction
Gracilis Flap for Perineal and Vaginal Reconstruction Ajani G. Nugent Yasmina Zoghbi Christopher J. Salgado DEFINITION Perineal defects reconstructed with gracilis flaps are applied after vulvovaginal resections or more extensive…
Vertical Rectus Abdominis Flap for Perineal Reconstruction
Vertical Rectus Abdominis Flap for Perineal Reconstruction Dhivya R. Srinivasa Jeffrey H. Kozlow DEFINITION Perineal reconstruction is often required after oncologic resections for anorectal, gynecologic, and/or genitourinary tumors. Other etiologies…
Posterior Labial Artery Flap for Vulvar and Vaginal Reconstruction
Posterior Labial Artery Flap for Vulvar and Vaginal Reconstruction Chris A. Campbell DEFINITION The posterior labial artery flap commonly known as the Singapore flap or pudendal thigh flap is a…
