Periumbilical Perforator Sparing Components Separation

Chapter 9 Periumbilical Perforator Sparing Components Separation image




1 Clinical Anatomy



1 Rationale for Sparing the Periumbilical Perforators







3 Blood Supply to the Abdominal Wall Skin








2 Preoperative Considerations




2 Defining the Defect and Patient Anatomy





3 Choosing the Type of Components Separation





image The conventional components separation (as described in Chapter 8) requires significant skin undermining and division of the periumbilical perforators and should be performed only if extensive subcutaneous skin flap elevation is necessary (i.e., as done during removal of an infected onlay synthetic mesh). Otherwise a periumbilical perforator sparing technique, performed open or laparoscopic should be attempted in all cases requiring components separation.





Mar 6, 2016 | Posted by in Reconstructive surgery | Comments Off on Periumbilical Perforator Sparing Components Separation

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