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Lower limb perforator flaps: Current concept
- Source :
- 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⟩
- Publication Year :
- 2020
- Publisher :
- HAL CCSD, 2020.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 1768319X and 02941260
- Database :
- OpenAIRE
- Journal :
- 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⟩
- Accession number :
- edsair.doi.dedup.....45fd29f53cdcdaaf42419571a9b9ecb3