Microdissected Thin Perforator Flaps:

Kimura, Naohiro; Satoh, Kaneshige; Hosaka, Yoshiaki

doi:10.1097/01.prs.0000091248.41007.2d

Cited by 67 publications

(39 citation statements)

References 10 publications

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“…This is particularly useful when dissecting perforator flaps. Instead of using the microscope 7 with its additional positioning and tilting problems, one can safely employ the Varioscope's highest magnification, especially at the initial dissection of the perforator artery. Nevertheless, using the device for a long time, especially for the first few cases, comes with an extra cost in terms of fatigue due to the Varioscope's weight.…”

Section: Discussionmentioning

confidence: 99%

Use of varioscope in free microvascular tissue transplants

Spyriounis¹

2005

Microsurgery

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Since July 2002, the author has performed 12 consecutive free flaps using a new device, the Varioscope AF3, in order to evaluate its efficacy. The Varioscope is a world-patent novelty by Life Optics (Vienna, Austria) that combines the philosophy of microscopes and loupes. Specific advantages such as reduced cost, freedom of movement, portability, and a magnification range between 3.6-7,2x are some of the reasons that convinced the author to use the Varioscope initially. The overall success rate is similar to that obtained with a microscope or high-power loupes. The results show that the Varioscope AF3 could be safely employed in the majority of free-tissue transfers as sole means of magnification. However, for digital replantations or vessels with a diameter of less than 1 mm, a microscope might be necessary.

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Section: Discussionmentioning

confidence: 99%

Use of varioscope in free microvascular tissue transplants

Spyriounis¹

2005

Microsurgery

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“…Hay autores que, para afinar el colgajo de perforante en un sólo tiempo quirúrgico tras la disección, defienden el uso de lipectomía (16,17) mediante microdisección intradiposa bajo visión macroscópica hasta la fascia de Camper. Pero a nuestro juicio, realizar una lipoaspiración en un segundo tiempo quirúrgico acorta el tiempo operatorio en la cirugía de urgencia y minimiza el riesgo de devascularización durante la disección del colgajo.…”

Section: Discussionunclassified

Reconstrucción de antebrazo con colgajo DIEP: caso clínico

Balaguer-Cambra

Navarro-Monzonis

Hortelano-Otero

et al. 2015

Cir. plást. iberolatinoam.

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ResumenLas heridas complejas del antebrazo con fracturas asociadas y pérdida circunferencial de piel, suponen un doble reto reconstructivo. Mostramos el tratamiento de una paciente con lesiones combinadas en el miembro superior tras atrapamiento por rodillos fríos industriales mediante el uso de un colgajo libre de perforante del eje epigástrico inferior profundo (DIEP), tras tratamiento de la fractura articular de la extremidad distal de radio guiado por artroscopia. Conseguimos la estabilización de las fracturas y la cobertura completa del defecto.El colgajo DIEP permite la cobertura de áreas extensas con escasa morbilidad en la zona donante y con un correcto resultado estético.Palabras clave Antebrazo, DIEP, Reconstrucción antebrazo. Nivel de evidencia científica 5 AbstractComplex injuries in upper limb like fractures and forearm circumferential skin loss involving are a double reconstructive challenge. We show a case management in a patient with combined injuries in the upper limb because of entrapment by industrial rollers, using deep inferior epigastric perforator free flap (DIEP) after treatment of an articular fracture of distal radius guided by arthroscopy. Was achieved stabilization of fractures and complete coverage of the defect, with good acceptance of the donor site by the patient.DIEP flap provides coverage for large areas with low morbidity and good aesthetic result.

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“…14 Some of these flaps require thinning procedures, which may limit their application because partial skin necrosis may develop, especially in patients who have scar in the flap. [7][8][9] Furthermore, in cases that require coverage of many fingers, resurfacing becomes a two-step procedure: the skin of all injured fingers is covered with one piece of cutaneous flap in the first operation and then the flap is divided at the second operation. For coverage of the exposed tendons, fascial flaps are more advantageous than cutaneous flaps, because the latter do not provide a gliding surface and may cause functional damage to the tendon.…”

Section: Discussionmentioning

confidence: 99%

“…Defects of the dorsal surface of the hand or foot require thin tissue for reconstruction, and many suitable flaps have been reported in the literature, such as thin cutaneous flaps of the anterolateral thigh, 7,8 deep inferior epigastric perforator flap, 9,10 temporoparietal fascia flap, [11][12][13] and lateral upper arm fascia flap. 14 Some of these flaps require thinning procedures, which may limit their application because partial skin necrosis may develop, especially in patients who have scar in the flap.…”

Section: Discussionmentioning

confidence: 99%

The thoracodorsal vascular tree‐based combined fascial flaps

2008

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In this study, combined fascial flaps pedicled on the thoracodorsal artery and vein were raised and used for thin coverage of dorsal surfaces of the fingers and the dorsum of hand and foot with favorable results. The combined fascial flaps consist of the serratus anterior fascia and the axillary fascia at the entrance of the latissimus dorsi. These flaps were used for reconstruction of the hand, fingers, or foot in nine patients. Reconstruction was performed for burn or burn scar contracture, after resection of malignant tumors, posttraumatic skin defects, and chronic regional pain syndrome. The sites of reconstruction were dorsal surfaces of fingers, dorsum of hand, wrist and palm, forearm, lower leg, and foot. The flaps were used in various configurations including two independent fascial flaps, two-lobed fascial flap with separate feeding vessels, and composite fascial and thoracodorsal artery perforator flap. The fascial and skin flaps survived in all nine patients, with favorable results both functionally and esthetically. Good coverage of soft tissue defects and good recovery of range of motion in resurfaced joints were achieved. There were no complications. The scars at the sites of harvest were not noticeable. The advantage of this method is that not only a single flap but flaps of a variety of configurations can be harvested for different purposes. The thoracodorsal vascular tree-based combined fascial flaps are useful for the reconstruction of soft tissue defects in the extremities.

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Microdissected Thin Perforator Flaps:

Cited by 67 publications

References 10 publications

Use of varioscope in free microvascular tissue transplants

Use of varioscope in free microvascular tissue transplants

Reconstrucción de antebrazo con colgajo DIEP: caso clínico

The thoracodorsal vascular tree‐based combined fascial flaps

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