Marys hospital, college of medicine, the catholic university of korea, south korea. Practical reconstructive surgery 1st edition pdf free medical books free. The pap flap for breast reconstruction was originated in 2010 by dr. First metatarsal artery capillary perforator flaps. To augment the viability of the alt flap, we performed an additional microvascular augmentation of the distal or descending branch of the lateral circumflex artery lcfa with the sizable amt perforator. The flap is outlined on the axis of the anterior superior iliac spine and the lateral patella. Recently, perforator flap has been reported for small to medium defects. We present our clinical experience with free style facial perforator flaps. Peroneal artery based flap was first introduced by taylor et al. The profunda femoris artery supplies the tissue of the posterior thigh through musculo and septocutaneous perforators.
In recent years, the emergence of perforator flaps has changed our management of wounds involving tissue loss. Description download the keystone perforator island flap concept behan 9780729539715 samplechapter comments. The impact of cta in preoperative planning of deep inferior. The gluteal artery perforator flap can be designed to recruit adipose tissue from either the upper superior gluteal artery perforator sgap flap 18,2225 or lower inferior gluteal artery perforator flap. It provides a solution for performing a local flap in a difficult region. Perforator flap perforator flap meeting 2017 columbus ohio. The recent introduction of chimeric sentinel muscle perforator flaps for free flap monitoring, local perforator flaps for lower extremity reconstruction, and perforator to perforator free flaps. The impact of cta in preoperative planning of deep. Free anterolateral thigh flap anteromedial thigh perforator assisted closure of the anterolateral thigh free flap donor site.
The flow of a noncompressible liquid through a tube is governed by poiseuilles law according to the following equation. C, d the innervated digital artery perforator flap was rotated 90, and the. The present study describes a new method for repairing soft tissue defects of the finger by using the technique of propeller perforator flaps. S 2015 20 mfmer 32951652 keystone flaps introduction felix behan kdpif keystone design perforator island flap 4 flap types. Clinics in plastic surgery preexpanded perforator flaps. Pdf a simple technique of marking the perforator of a. This is a large series on clinical applications of the freestyle pedicled perforator flap. Perforator propeller flaps for the coverage of middle and di. Reconstructive surgery download ebook oncoplastic surgery plastic and reconstructive surgery 1st edition pdf download master techniques in orthopaedic surgery reconstructive knee surgery 4th edition pdf. From the beginning, their use as free flaps diminished substantially the donor site morbidity. Perforator flaps for breast reconstruction pdf for free. It has been championed as an alternative to the tug flap.
Patient demand for perforator flap procedures is quickly growing due to positive results. This study is focused on a particular perforator lateral to the angle of the mouth. All of them had defects with limited soft tissue remained over the leg, exposing the tibia. For the successful reconstruction of facial defects, various perforator flaps have been used in singlestage surgery, where tissues are moved to adjacent defect sites. Article information, pdf download for perforator flap reconstruction. Perforators can be marked with a pencil doppler to help design the outline of the flap. Atlas of perforator flap and wound healing pdf libribook. Electronic databases were searched using a predefined search strategy. Patients with burn scars often experience functional problems because of scar contractures. They included the anterolateral thigh perforator flap 27 cases, thoracodorsal perforator flap 5 cases, and deep inferior epigastric perforator flap.
Reconstructing nasal alar defects with freestyle facial artery perforator flaps area of 8. A good choice for the repair of the deep soft tissue defects in the hand and forearm jin wang 1, 2, min wang 1, yuan xu 2, yao guo 2, lei cui 2, jun wang 2, zhijian hong 2 and siming yuan 2 1 department of burn and plastic surgery, nanjing gulou hospital suqian city peoples hospital group, china. Many of the contributors to perforator flaps for breast reconstruction have pioneered the procedures presented in their respective chapters. Because of its many advantages and its versatility, the authors believe it. Perforator flaps for breast reconstruction pdf libribook. To describe a technique for covering defects of the fingertips. The aim of this leaflet is to provide you with information about perforator based flap. Perforator flaps for breast reconstruction ebook www. Studies evaluating the longterm outcome of perforator based flaps. The anterolateral thigh flap lies on the axis of the septum dividing the vastus lateralis and the rectus femoris muscles. Select ion of ou r books inde xed in the boo k ci tation i ndex. The course has travelled the world and has been hosted in many countries in all continents. Sensate hypothenar perforator free flap for resurfacing large.
Reconstruction of the hand and upper limb with free flaps. The choice of flap is dependent on a variety of factors, including patient, functional needs, and depth of injury. Apr 17, 2020 download the keystone perforator island flap concept behan 9780729539715 samplechapter. Reconstruction of wide soft tissue defects with extended. Propeller perforator flaps from the dorsal digital artery perforator. The paraumbilical perforator flap has many advantages, such as reliable blood supply, good texture, sufficient area, and convenient transfer 3 6. Download perforator flaps for breast reconstruction 1st. Department of plastic and reconstructive surgery, yeouido st. Download file perforator flaps for breast reconstruction 1st edition pdf.
When local perforator flap is designed as propeller and rotated to 180 degree, donor site is closed primarily and increases reach of flap, thus increasing versatility. Joseph carpue immediately took advantage of this technique and applied it to. Step 3 the medial incision is made with cutting electrocautery and is carried through the subcutaneous fat down to the deep fascial layer overlying the rectus femoris muscle. This website provides free medical books this website provides over 0 free medical books and more for all. With great pleasure we announce the 18th international course on perforator flaps. Perforator flaps have recently become ubiquitous in the field of plastic surgery. Reconstruction of nasal alar defects with freestyle facial. Amiens perforator flap conference in conjunction with the annual ruberg symposium. The use of local perforator based flaps for reconstruction of soft tissue defects of the lower extremity is a simple and safe alternative to the more complex and timeconsuming microsurgical reconstructions. Keystone perforator island flap for postmastectomy defect re. May 11, 2014 supermicrosurgical reconstruction of knee defect using superior medial genicular perforator as a recipient vessel plastic and aesthetic research is an open acccess journal, which publishes articles on technical and clinical studies related to plastic and aesthetic surgery. Methods from april 2012 to march 20, a total of five patients underwent the keystone perforator. The osu department of plastic surgery is pleased to announce. Propeller perforator flaps for finger reconstruction.
The freestyle gluteal perforator flap in the thinning and. Free style perforator flaps for aesthetic facial reconstruction. A cohort case series of 14 modiolus perforator flap. The paraumbilical perforator pup flap for upper extremity coverage can offer the benefits and versatility of pedicled and free flaps while avoiding some of the donorsite morbidity and risks of free tissue transfer. Reconstruction of wide soft tissue defects with extended anterolateral thigh perforator flap turbocharged technique with anteromedial thigh perforator. The aims of this atlas are to introduce the clinical applications of perforator flaps in plastic surgery and skin replacement. Monitoring of a free flap or a perforator flap is important in the immediate postoperative period to alert the surgeon of a vascular event and to enable flap salvage by early intervention. Primary closure of the donorsite defect was achieved in 403 cases and splitthickness skin grafts were used in 269 cases. Free anterolateral thigh perforator flap for sacroiliac. After a brief introduction of the concept and surgical rationale of perforator flaps, the book presents 24 different flaps from donor sites including upper limb, lower limb and the trunk. Pdf first metatarsal artery capillary perforator flaps.
Pedicled peroneal artery perforator flap for knee defect. Paraumbilical perforator flap for soft tissue reconstruction. Honor us with your presence and mark november 15 18, 2017 in your calendar. Jun 06, 2016 pedicle perforator flaps are believed to be a less invasive option with better cosmesis. The keystonedesign perforatorbased flap for leg defects. After a brief introduction of the concept and surgical rationale of perforator flaps, the book presents 24 different flaps. It marks a new era in reconstructive surgery where surgeons are no longer bound by the traditional conventions of flap surgery. Download file pdf perforator flaps for breast reconstruction ebook www perforator flaps for breast reconstruction ebook www eventually, you will very discover a other experience and success by. Flaps section details the multivariate usages of microsurgical flaps, pedicled flaps, perforator flaps, and more.
Perforator flap surgery is a technique used in reconstructive surgery where skin andor subcutaneous fat are removed from a distant or adjacent part of the body to reconstruct the excised part. Perforator flaps for breast reconstruction pdf free download. Pdf on apr 18, 2018, goktekin tenekeci and others published perforator flaps. The flap is outlined along the axis, and the upper third of the flap is located over the cutaneous perforator. Supermicrosurgical reconstruction of knee defect using. Pdf vy modification of a bipedicle perforator flap. Profunda artery perforator pap flap for breast reconstruction. This international meeting usually held in amiens france is coming to the united states for the first time. Supermicrosurgical reconstruction of knee defect using superior medial genicular perforator as a recipient vessel plastic and aesthetic research is an open acccess journal, which. If the contractures are small and linear, the contraction bands can be treated with local transposition flaps like the zplasty. The vessels that supply blood to the flap are isolated perforator. During the evolution of surgical techniques from the pedicle trasverse rectus abdominis myocutaneous tram flap, to the free tram, to the musclesparing free tram, to dieap flap, there has been a constant battle between attempts to minimize morbidity to.
Perforator flaps for breast reconstruction gives plastic surgeons the detailed instructions they need to perform these sophisticated breast. Microvascular free flaps based on musculocutaneous perforators were performed in 36 cases for reconstruction of the thumb and thenar web, palm, dorsum of the hand, wrist, and forearm. This book is an essential authoritative guide for plastic surgeons interested in making perforator flap reconstruction part of their practice. Undergoing pilonidal sinus surgery and perforatorbased. During the evolution of surgical techniques from the pedicle trasverse rectus abdominis myocutaneous tram flap, to the free tram, to the musclesparing free tram, to dieap flap. A perforator flap is a flap consisting of skin and subcutaneous tissue that is perfused by an isolated. Atlas of perforator flap and wound healing springerlink. Practical reconstructive surgery 1st edition written by pioneering, world renowned flap surgeons, this is the quintessential manual on the use of reconstructive flaps. Propeller perforator flaps in forearm and hand reconstruction. Management of large sternal wound infections with the. Free anterolateral thigh perforator flap for sacroiliac defect. What started as a small meeting among friends, has grown into a major international forum where colleagues share their new ideas in the field of perforator.
From june 2008 to may 2011, 20 patients were treated with perforator based propeller flap for distal leg and ankle defects. Perforatorbased flaps for the treatment of burn scar. Innervated digital artery perforator flap sciencedirect. The hypothenar free flap was designed centered on the anticipated location of the perforator artery. Perforator definition of perforator by the free dictionary. What started as a small meeting among friends, has grown into a major international forum where colleagues share their new ideas in the field of perforator flap surgery. If youre looking for a free download links of perforator flaps. The application of the pedicle perforator flaps and its propeller variant for leg. In 1983, taylor and others first reported the use of the paraumbilical perforator flap, which is a type of axial vascular flap supplied by the perforator vessels beside the umbilicus. Nasolabial perforator flap a multitool for reconstruction of facial units. Clinical cases of keystone island perforator flaps michel saintcyr, m. The final design of the flap will be done only after finding the perforator on which the flap will be based see figure 4.
Perforator flap reconstruction for the distal third of lower extremity. Doppler flowmetry in the planning of perforator flaps journal of. Freestyle local perforator flaps for facial reconstruction. For its 20th anniversary the course returns to where it all started. Our group successfully performed perforator flap surgery on 17 patients with small to moderate facial defects that affected the functional and aesthetic features of their faces. Keystone perforator island flap kpif is a local advancement flap based on multiple perforators which can be a reliable reconstructive method to close an extensive defect. Perforator flaps were first introduced in 1992 and were developed out of a desire to further mimimize donor site morbidity and possibly recovery time without compromising safety or aesthetic outcomes. Perforator flaps rose as an alternative to free tissue transfer in patients in whom the complications toll is high. Perforator flaps for breast reconstruction download. The management of sternal wound infections often requires pedicled flaps. The perforator arteries of the hypothenar area were identified around 515% on the x.
Broader, diffuse contractures are more challenging and require a different surgical approach, such as the. Surgical treatment may be indicated for those burn scar contractures. V r4 8 p l the flow of a volume of liquid, v, is proportional to the fourth power of the radius of the. For the successful reconstruction of facial defects, various perforator flaps have. Surgical atlas of perforator flaps a microsurgical. Perforator flap surgery was described as extravagant and exceptional in those days but it has now become the mainstream reconstructive technique for restoring defects throughout the body. Perforator article about perforator by the free dictionary. This perforator flap is different from the medial plantar flap based on the medial plantar artery. Perforator flaps have increased in use, with advantages such as sparing of the.
The pap flap is an alternative to abdominal based donor sites for autologous breast reconstruction in patients where the abdomen is undesirable or contraindicated. The versatility of perforatorbased propeller flap for. This book is an essential authoritative guide for plastic surgeons interested in making perforator flap. For sternal wounds, the superior epigastric artery perforator seap flap can be used with the propeller procedure with minimal donor site morbidity. A useful tool in the planning of perforator flaps is the manual. Pdf the keystone perforator island flap concept behan. Newer applications for perforator flaps are being developed as this issue of seminars in plastic surgery is being published. Other perforator flaps have emerged to address alternative donor sites table 1. The authors think with its reliability and versatility nasolabial perforator flaps, based on the same donor area as the traditional nasolabial flap. In our practice, this flap has replaced the traditional.