Pedicled Perforator Flaps

Abstract

Described in this study is a surgical concept that supports the "consider and use a pedicled perforator flap whenever possible and indicated" approach to reconstruct a particular skin defect. The operation is entirely free-style; the only principle is to obtain a pedicled perforator flap to reconstruct the defect. The perforators are marked with a hand-held Doppler probe and multiple flaps are designed. The appropriate flap is elevated after identifying the perforator(s). Dissection of the perforator(s) or complete incision of the flap margins are not mandatory if the flap is mobilized adequately to cover the defect. Defects measuring 3 x 3 cm up to 20 x 20 cm at diverse locations were successfully reconstructed in 20 of 21 patients with 26 flaps. Pedicled perforator flaps offer us reliable and satisfactory results of reconstruction at different anatomic territories of the body. It sounds more practical and creative to use a free-style manner during pedicled perforator flap surgery, instead of being obliged to predefined templates for this type of procedure.

Comparison of the effects of different vasoactive and antiplatelet drugs on perforator flap viability. An experimental study

“…This means that most soft tissue defects have at least one potential skin flap around them. Pedicled perforator flaps can be transferred to the recipient site in many different configurations, with these flaps being called advancement, rotation, transposition and propeller flaps [5][6][7]. Kroll and Rosenfield first introduced the pedicled perforator flap concept for the reconstruction of posterior midline defects in 1988 [8].…”

A simple concept for covering pressure sores: wound edge‐based propeller perforator flap

“… Pedicled perforator flaps allow defects to be covered with the most appropriate tissue in terms of the composition, shape and location of the defect. A number of studies concerning the covering of pressure sores with perforator flaps have shown that they are a reliable treatment modality. …”

“…(14) A number of studies concerning the covering of pressure sores with perforator flaps have shown that they are a reliable treatment modality. (7,8,10,(13)(14)(15)(16)(17) The propeller flap concept was described by Hyakusoku et al in 1991. (4) The term 'propeller perforator flap' was first used in the coverage of ischial and trochanteric pressure sores by Hallock in 2006.…”

The effect of mesenchymal stem cells and sildenafil on flap viability in perforator‐based flaps for ischemia/reperfusion injury: An experimental study

“…It is possible to create a flap wherever a musculocutaneous perforator is located . Pedicled perforator flaps allow defects to be covered with the most appropriate tissue in terms of the composition, shape, and location of the defect . The experimental perforator flap model was first described by Okşar et al in 2001.…”