The latissimus dorsi muscle derives dual blood supply from the thoracodorsal branch of the subscapular artery and the posterior paraspinous perforators
. Despite the absence of the large latissimus dorsi muscle, functional deficit of the shoulder and the arm are reported in only 7% of patients who have received this flap.
The onset of superficial CVI occurs due to a vertical venous reflux caused by the ostial venous valve at the level of the saphenous-femoral junction, or due to a horizontal reflux triggered by the degradation of the ostial valves of the perforator
veins that leads to venous reflux from the profound to the superficial venous network.
The main reconstruction options of Achilles region are the free tissue transfer and the loco-regional flaps, with the latter being increasingly used with the recent progress of perforator
The fate of calf perforator
veins after saphenous vein laser ablation.
Short LAD gave septal perforator
branches and terminated higher up in the anterior interventricular groove, whiles the long LAD gives diagonal branches and enters late in the anterior interventricular groove.
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
The ALT flap was marked in the habitual manner, and the perforators
vessels were identified preoperatively by Doppler US.
were identified as the communication traversing through the muscularis propria of rectal wall.
As of today, the introduction and widespread use of mobilization techniques of freestyle flaps on perforator
vessels has allowed us to review the mobilization technique of the V-Y flaps and reconsider the use of such flaps, renovating the interest toward this technique.
One of these options includes a wide variety of Perforators
and Scoring Devices.
Under the circumstances, it is decided to proceed with the cutting of the vascularized fasciocutaneous flap by fibular perforators
. The wound shows a 4 cm defect of the Achilles tendon: Figure1.