Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec;146(6):796e-807e.
doi: 10.1097/PRS.0000000000007331.

Best New Flaps and Tips for Success in Microsurgery

Affiliations

Best New Flaps and Tips for Success in Microsurgery

Erin Brown et al. Plast Reconstr Surg. 2020 Dec.

Abstract

Learning objectives: After reviewing this article, the participant should be able to: 1. Understand the trends in reconstruction using flaps. 2. Understand the surgical anatomy and elevation of the three best flaps: superficial circumflex iliac artery perforator, profunda artery perforator, and thin anterolateral thigh perforator. 3. Understand the core principle and the modern evolution of microsurgery. 4. Be acquainted with new microsurgical tips to maximize outcomes.

Summary: Plastic surgery has a long history of innovation expanding the conditions we can treat, and microsurgical reconstruction has played a pivotal role. Freestyle free flaps now create another paradigm shift in reconstructive surgery, relying on a better understanding of anatomy and physiology, opening the door to patient-specific customized reconstruction. This article aims to provide information regarding useful and practical new advances in the field of microsurgery.

PubMed Disclaimer

References

    1. Pearl RM, Johnson D. The vascular supply to the skin: An anatomical and physiological reappraisal. Part I. Ann Plast Surg. 1983; 11:99–105
    1. Nahai F, Mathes SJ. Musculocutaneous flap or muscle flap and skin graft? Ann Plast Surg. 1984; 12:199–203
    1. Taylor GI. The angiosomes of the body and their supply to perforator flaps. Clin Plast Surg. 2003; 30:331–342, v
    1. Saint-Cyr M, Wong C, Schaverien M, Mojallal A, Rohrich RJ. The perforasome theory: Vascular anatomy and clinical implications. Plast Reconstr Surg. 2009; 124:1529–1544
    1. Gottlieb LJ, Krieger LM. From the reconstructive ladder to the reconstructive elevator. Plast Reconstr Surg. 1994; 93:1503–1504

Publication types

MeSH terms