Perforator Flaps and Supermicrosurgery
The introduction of supermicrosurgery, which allows the anastomosis of smaller caliber vessels and microvascular dissection of vessels ranging from 0.3 to 0.8 mm in diameter, has led to the development…
Versatility of the Pedicled Anterolateral Thigh Flap
The pedicled anterolateral thigh flap is a useful addition to our armamentarium. It provides excellent cover for defects in the lower abdomen, pelvis, and perineum. It also has the added…
Perforator Flaps in Breast Reconstruction
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,…
Pedicled Perforator Flaps in the Trunk
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 in the Upper Extremity
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…
The Integration of Muscle Perforator Flaps into a Community-Based Private Practice
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 Concept
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…
Technical Tips for Safe Perforator Vessel Dissection Applicable to All Perforator Flaps
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…
Pedicled Perforator Flaps in the Head and Neck
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…
Preoperative Imaging Techniques for Perforator Selection in Abdomen-Based Microsurgical Breast Reconstruction
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…
