Lower limb perforator flaps: Current concept
| Autor: | Benoit Chaput, Christian Herlin, Farid Bekara, Thomas Meresse, Silvia Gandolfi, Jean-Louis Grolleau, D. Gangloff |
|---|---|
| Přispěvatelé: | Hôpital de Rangueil, CHU Toulouse [Toulouse], Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), CHU Rouen, Normandie Université (NU), Aide à la Décision pour une Médecine Personnalisé - Laboratoire de Biostatistique, Epidémiologie et Recherche Clinique - EA 2415 (AIDMP), Université Montpellier 1 (UM1)-Université de Montpellier (UM) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Vascular anatomy Computer science Lower limb flaps MESH: Lower Extremity Lambeaux en hélice Free flap [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery 030230 surgery Lower limb 03 medical and health sciences 0302 clinical medicine Long period medicine Humans Lambeaux perforants MESH: Perforator Flap MESH: Humans eye diseases Propeller flaps Surgery Lower Extremity Perforator flaps Membres inférieurs Reconstruction Perforator Flap |
| Zdroj: | Annales de Chirurgie Plastique et Esthetique Annales de Chirurgie Plastique et Esthetique, Elsevier, 2020, 65 (5-6), pp.496-516. ⟨10.1016/j.anplas.2020.06.009⟩ |
| ISSN: | 1768-319X 0294-1260 |
| DOI: | 10.1016/j.anplas.2020.06.009⟩ |
| Popis: | International audience; Following a long period dominated by random fasciocutaneous flaps or muscle flaps, solutions to cover the lower limb have been largely diversified by the advent of so-called "perforator" flaps. Extended knowledge of vascular anatomy has propagated the development of this innovative procedure, in the objective of reducing morbidity. The existence of close to 400 perforator vessels in the body makes it possible to offer new flap perspectives for many defects, which were sometimes previously impossible to manage before except by free flap. For us, perforator flaps have become the current first-line solutions for small to medium size loss of substances. Understanding of vascular physiology and surgical experience are essential in choosing indications, detecting perforators, and modeling flaps to be optimally positioned in the reconstructive decisional algorithm. New skills are needed to master this type of reconstruction and limit failures, which implies a learning curve not only for flap design, perforator detection and surgical procedure, but also for monitoring and management of complications. In this manuscript, we outline the concepts and principles of the majority of the pedicled perforator flaps available for coverage of the lower limb, based on experience of more than 400 perforator flaps suitable for this localization. |
| Databáze: | OpenAIRE |
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