Propeller Flaps With Reduced Rotational Angles

Brunetti, Beniamino; Tenna, Stefania; Poccia, Igor; Persichetti, Paolo

doi:10.1097/sap.0000000000000830

Cited by 22 publications

(1 citation statement)

References 22 publications

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“…The flap was harvested according to the freestyle perforator flaps philosophy 4 : propeller or advancement movements were chosen according to the position of the pedicle. [5][6][7] In case of propeller flaps, pedicle dissection was usually limited to the subcutaneous course of the perforator and rarely extended beyond its fascial fenestration. When the propeller design was not feasible, an advancement movement was adopted, selecting pedicles with potential for vascular elongation.…”

Section: Surgical Techniquementioning

confidence: 99%

“Thou shalt not throw away a living thing” - Innovative use of perforator flaps in abdominal wall reconstruction.

Brunetti

Coppola

Ciarrocchi

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Abdominal wall reconstruction represents a complex challenge for plastic surgeons, given the variable range of clinical situations requiring restoration of abdominal wall integrity. When significant myofascial defects are encountered, repair with either a synthetic or biological mesh is indicated, both of which have advantages and drawbacks. Taking inspiration from Gillies' fourth commandment of plastic surgery-Thou shalt not throw away a living thing-an innovative technique to obtain a vascularized autologous mesh from the tissues usually discarded during abdominal contouring procedures was conceived. The authors describe how to maximize the use of perforator flaps derived from abdominoplasty excision patterns in abdominal wall reconstruction to simultaneously obtain restoration of abdominal wall integrity and improvement of the abdominal contour.

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Section: Surgical Techniquementioning

confidence: 99%

“Thou shalt not throw away a living thing” - Innovative use of perforator flaps in abdominal wall reconstruction.

Brunetti

Coppola

Ciarrocchi

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Pedicled perforator‐based flaps: Risk factor analysis, outcomes evaluation and decisional algorithm based on 130 consecutive reconstructions

et al. 2020

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IntroductionPedicled perforator flaps are widely used for soft tissue reconstruction, but evidence in literature about risk factors associated with complications is still controvert. The aim of this study is to evaluate risk factors and outcomes associated with pedicled perforator‐based flaps harvested at different anatomical sites.Patients and methodsSeventy‐one propeller and 59 V‐Y advancement flaps were performed to reconstruct defects of the face (24 cases), trunk (47 cases), and extremities (59 cases). Mean defect and flap area were 32.43 and 43.2 cm2, respectively. The average age recorded was 66 years. We statistically analyzed whether patient and flap‐related variables had an impact on flap vascular complications rate. Patients were asked to rate on a 5‐point Likert scale the aesthetic and functional outcomes of the surgery.ResultsOverall flap complications rate was 23.07%. Coronary heart disease was an independent risk factor for flap complications (p = .010), while hypertension was associated with a lower complication rate (p = .010). The increasing degree of pedicle rotation had a significant impact on the development of flap vascular complications (p = .008). Mean patients' aesthetic and functional ratings were 4.23 of 5 and 4.37 of 5, respectively.ConclusionsWe found a positive correlation between both coronary heart disease and increasing degree of pedicle rotation and complications. Other factors tested were not significantly associated with complications. Patients were overall satisfied with both the aesthetic and functional outcomes of the procedure. The decisional algorithm hereby suggested yields a 93.1% overall success rate and we believe it could be of help to plastic surgeons approaching soft tissue defects.

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Usefulness of a template‐based free flap planning for reconstruction of sarcoma defects

et al. 2021

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Propeller Flaps With Reduced Rotational Angles

Abstract: Propeller flaps with reduced rotational angles represent a safe and versatile option to reconstruct soft tissues defects at different anatomical sites.

Cited by 22 publications

References 22 publications

“Thou shalt not throw away a living thing” - Innovative use of perforator flaps in abdominal wall reconstruction.

“Thou shalt not throw away a living thing” - Innovative use of perforator flaps in abdominal wall reconstruction.

Pedicled perforator‐based flaps: Risk factor analysis, outcomes evaluation and decisional algorithm based on 130 consecutive reconstructions

Usefulness of a template‐based free flap planning for reconstruction of sarcoma defects

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