Bases anatómicas vasculares de los colgajos perforantes cutáneos

Morris, Steven F.; Tang, Maolin; Geddes, Christopher R.

doi:10.4321/s0376-78922006000400002

Cited by 8 publications

(12 citation statements)

References 18 publications

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“…The perforator flaps have evolved from musculocutaneus and fasciocutaneous to nonutilization of muscle or fascia as irrigation transporters, from the major vessels of the lower extremity, and bearing this in mind has driven our interest in using these flaps with the benefit of providing a similar coverage to neighboring tissues and favoring a primary closure, in small size defects. The flaps made had average dimensions of 48 cm, 2 which are close to the concept proposed by Morris et al 11 , that a perforating vessel of 0.7 cm provides an approximate irrigation of 47 cm 2 and may even have a broader extension as described by Gir et al 17 of 67.1 cm. 2 , 18 …”

Section: Discussionsupporting

confidence: 76%

“…In the upper limb, there are an average of 48 perforators from 15 vascular territories, and in the lower limb, we can find 93 from 21 territories. 11 The perforator propeller flaps are versatile in our therapeutic armament, initially described by Hyakusoku et al, 12 to define a method in which a flap with a length exceeding its width is rotated 90 degrees on its central axis based on a central subcutaneous pedicle. It was technically refined by Teo 13 with a higher degree of rotation by completely releasing the perforating vessel as a single pedicle, which led to its subsequent definition and classification.…”

Section: Introductionmentioning

confidence: 99%

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Perforator Propeller Flaps for the Coverage of Middle and Distal Leg Soft-tissue Defects

Mendieta

Cabrera

Siu

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Background:Local propeller flaps preserve the main vascular arteries of the lower extremity and muscle function, avoiding the need for a microsurgical anastomosis and the benefit of providing a “like with like” coverage. Our goal in this study was to demonstrate the versatility, safety, and complications of the local propeller flaps for lower extremity reconstruction.Methods:We present a series of 28 patients in whom we used local propeller flaps to restore small-to-medium soft-tissue defects of the lower limb in different hospitals of Managua, Nicaragua.Results:Flap average dimensions were of 48 cm2. Flap rotation was performed in 180 degrees in 85% of the cases. The propeller flaps were based on a single perforator, from the posterior tibial artery in 50%, anterior tibial artery in 39.3%, and peroneal artery in 10.7% of the cases. Complications occurred in 14% of the propeller flaps performed, with 3 partial necrosis of less than 15% of the flap transposed. Complications of the patients occurred in both sex groups; however, for the female group, there was a 75% of complications with a tendency toward statistical significance of P = 0.038. Donor site of the flap was closed primarily in 85.7% (24) of the cases.Conclusions:In our opinion, the availability and safety of local propeller flaps, justifies its use in cases where microsurgical techniques are not an option for the reconstruction of the middle and distal extremity, in small-to-medium defects of soft-tissue coverage of the lower limb.

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Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Perforator Propeller Flaps for the Coverage of Middle and Distal Leg Soft-tissue Defects

Mendieta

Cabrera

Siu

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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“…En las últimas décadas, el uso de colgajos de perforantes se ha incrementado, convirtiéndose en una parte muy importante de la evolución de las técnica de Microcirugía (10). Por tanto, cobra importancia entre los cirujanos plásticos el conocimiento de la anatomía vascular y encontramos numerosos trabajos que hacen referencia a este aspecto (10). Es necesario también disponer de técnicas preoperatorias que nos permitan tener información de las pequeñas variaciones vasculares que pueden acontecer durante este tipo de intervenciones.…”

Section: Discussionunclassified

Estudio preoperatorio de vasos receptores en reconstrucción mamaria con colgajo DIEP

Botella

Canada

Andrés

et al. 2011

Cir. plást. iberolatinoam.

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ResumenEl estudio preoperatorio vascular de cualquier colgajo microquirúrgico es esencial para el buen desarrollo del mismo. En el colgajo DIEP (colgajo de perforante de arteria epigástrica inferior profunda) aplicado a la reconstrucción mamaria, se han establecido durante los últimos años diferentes técnicas para la planificación preoperatoria de la anatomía de los vasos perforantes de la arteria epigástrica inferior. Sin embargo, pensamos, que también es muy importante la planificación anatómica preoperatoria de los vasos receptores, que en la mayoría de los casos son la arteria y vena mamarias internas. Estos vasos sufren en ocasiones variaciones anatómicas, llegando incluso a no existir en algunos pacientes. El conocimiento exacto de la localización, permeabilidad y calibre de estos vasos receptores hará que la intervención sea mas rápida y sencilla. Palabras clave Reconstrucción mamaria, Colgajo de perforantes, DIEP.Código numérico 5214-52140-158336 AbstractAn accurate preoperative vascular evaluation of microsurgical flaps is essential for a good procedure. In DIEP (deep inferior epigastric perforator flap), in breast reconstruction, have been described different preoperative techniques to study the anatomy of the deep inferior epigastric perforators. We think that preoperative planning of the receiver vessels, (internal mammary artery and vein, in most of cases) is very important too. These vessels have anatomic changes in some patients. To know the exact location, permeability, and calibre of these vessels will help us to have a more easy and quick operation.

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“…Morris, en 2006 presenta una detallada revisión sobre las técnicas disponibles para estudiar la anatomía vascular en cadáver (11).…”

Section: Discussionunclassified

Colgajos de las perforantes del pie: problemas y posibles soluciones

Peregudova

Zubizarreta

Sanz

2010

Cir. plást. iberolatinoam.

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A pesar de diversas publicaciones existentes sobre el colgajo mediano plantar tradicional, los colgajos de las perforantes del pie no están suficientemente estudiados. Es necesario ampliar nuestros conocimientos sobre la anatomía vascular de esta región, los problemas que pueden surgir durante la disección de la zona y las posibles soluciones.Realizamos disección anatómica de 10 pies de cadáver utilizando relleno vascular con látex coloreado. Definimos la secuencia de la disección de las perforantes de la arteria plantar medial. Medimos los puntos de salida de las perforantes dominantes en relación con 3 puntos de referencia, diámetro y longitud de cada perforante. Evaluamos la utilidad de cada colgajo para su uso en reconstrucción local o a distancia en función del diámetro y la longitud de la perforante, grosor del colgajo y morbilidad de la zona donante.Los colgajos de los vasos perforantes del pie son una buena opción para la reconstrucción tanto local como a distancia, con una mínima morbilidad de la zona donante y con un buen resultado funcional gracias a las características del tejido del pie cuando se usa para reconstrucción en mano. Colgajos de las perforantes del pie: problemas y posibles soluciones Resumen Abstract Foot perforator flaps: problems and possible solutions (SECPRE) patrocinado por Mentor®, Cádiz (España), Junio de 2009 y con el Tercer Premio del Concurso Internacional de Residentes de la Federación Iberolatinoamericana de Cirugía Plástica (FILACP) en su XVIII Congreso, Panamá, Junio de 2010.Traditional medial plantar flap is widely described in the literature, but foot perforator flap is a relatively new subject which still needs more detailed anatomical investigation. We need to amplify our knowledge about this surgically challenging region, dissection difficulties and possible solutions.We performed anatomical dissection on 10 cadaver feet with dyed latex intravascular injection and then dissected out the perforators arising from the medial plantar artery. We measured the origin of the dominant perforators in relationship to 3 reference points, diameter and length of each perforator. We analyzed the application of flaps based on these perforators as local and free flaps in relation to pedicle length and diameter, flap thickness and donor site morbidity.Foot perforator flaps are a good option for local and distant reconstruction. Donor site morbidity is low and functional result is good due to tissue characteristics of the foot region when used for hand reconstruction.Prousskaia Peregudova, E.

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Bases anatómicas vasculares de los colgajos perforantes cutáneos

Cited by 8 publications

References 18 publications

Perforator Propeller Flaps for the Coverage of Middle and Distal Leg Soft-tissue Defects

Perforator Propeller Flaps for the Coverage of Middle and Distal Leg Soft-tissue Defects

Estudio preoperatorio de vasos receptores en reconstrucción mamaria con colgajo DIEP

Colgajos de las perforantes del pie: problemas y posibles soluciones

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