Thigh Perforator Exchange: Intraflap Perforator Augmentation of Anterolateral Thigh Free Flaps.
| Autor: | Palines PA; From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Louisiana State University Health Sciences Center; New Orleans, La., Nungesser ME; Department of Surgery, Houston Methodist; Houston, Tex., Baudoin ME; Department of Internal Medicine, University of Utah Health; Salt Lake City, Utah., Melancon DM; Louisiana State University School of Medicine-New Orleans; New Orleans, La., Stalder MW; Stalder Plastic Surgery, New Orleans, La. |
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| Jazyk: | angličtina |
| Zdroj: | Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2024 Aug 16; Vol. 12 (8), pp. e6072. Date of Electronic Publication: 2024 Aug 16 (Print Publication: 2024). |
| DOI: | 10.1097/GOX.0000000000006072 |
| Abstrakt: | Peripheral perfusion in large anterolateral thigh flaps may be inadequate if perforator zones are not properly planned during flap design and harvest, and variations in vascular anatomy can contribute to operative difficulty and morbidity. Intraflap anastomosis of extrinsic perforators may allow for augmentation of perfusion while avoiding significant intramuscular dissection. Adaptation of the perforator exchange technique, previously described in autologous breast reconstruction, optimizes vascular flow in anterolateral thigh flaps. Here, we present a technique for intraflap perforator anastomosis (the thigh perforator exchange) and illustrate its use in a subset of patients. This technique is relatively simple and rapid to perform with no vascular complications observed in our series. Competing Interests: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.) |
| Databáze: | MEDLINE |
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