“…However, the technical demands of the pedicle dissection, along with the risks of ischemic necrosis and venous congestion, are considered to be major drawbacks of the flap. 4,8,13 Furthermore, dissecting the neurovascular bundle formed by the PIA, venae comitantes, and PIN could injure the PIN, 8,19,20 and dissecting the neurovascular bundle takes precious tourniquet time. A more simple and convenient approach is required for flap harvest when practicable.…”