Treatment of varicose veins includes ligation or exclusion of the
perforator veins.
Superiority of medial circumflex femoral artery
perforator flap in scrotal reconstruction.
Perforator flaps rose as an alternative to free tissue transfer in patients in whom the complications toll is high: comorbidities including peripheral vascular disease, thrombosis and ischemia, loss of major vessels of the limb to microsurgery or extensive trauma or multiple surgeries, partial or total flap loss.
Minimally invasive treatments for
perforator vein insufficiency.
In the dual LAD system, short LAD give rise to septal
perforators and the diagonals originates from the LAD proper or long LAD.
We believe that vascularized interposition should be routinely used and, in particular, that the DUA adipofascial
perforator flap is a valuable treatment option for distal RUS.
We avoid any
perforator in scar tissue, as injury is more likely and dissection more difficult.
The 180-degree perforator-based propeller flap for soft tissue coverage of the distal, lower extremity: A new method to achieve reliable coverage of the distal lower extremity with a local, fasciocutaneous
perforator flap.
A clear understanding of the vascular anatomy of a
perforator flap is mandatory, and the perforasome concept helps to achieve this understanding.
The flaps we used were sural flaps (n=50), pedicled gastrocnemius flap (n = 26), pedicled fibular
perforator flaps (n = 45), free anterolateral thigh
perforator flaps (n = 23), free DIEP 3flaps (n = 3), and free thoracodorsal artery
perforator flaps (n= 5).
The vena cava was not lacerated or transected:
perforator veins that joined the lymph fat pad were unintentionally pulled out.