Definition of perforator flap: what does a "perforator" perforate?
Perforator
flap
microsurgery
reconstruction
supermicrosurgery
surgery
Journal
Global health & medicine
ISSN: 2434-9194
Titre abrégé: Glob Health Med
Pays: Japan
ID NLM: 101771579
Informations de publication
Date de publication:
31 Dec 2019
31 Dec 2019
Historique:
received:
29
07
2019
revised:
08
12
2019
accepted:
15
12
2019
entrez:
17
12
2020
pubmed:
18
12
2020
medline:
18
12
2020
Statut:
ppublish
Résumé
Perforator flap concept plays an important role in reconstructive surgery, because it allows less invasive and more complex reconstruction by preserving major vessels and muscles with intramuscular vessel dissection. Originally "perforator" represents vessel perforating the muscle, then vessel perforating the deep fascia regardless of muscle perforation. With technical progress in reconstructive microsurgery, the previous definition becomes inappropriate for least invasive flaps, only requiring intra-adiposal vessel dissection, such as superficial circumflex iliac artery perforator flap. Based on our experience of various least invasive flap reconstructive surgeries, a new concept for perforator flap has been developed. The new definition of perforator is a vessel perforating an envelope of a targeted tissue to be transferred; the superficial fascia for skin, the periosteum for bone, the perineurium for nerve, and the deep fascia for muscle. According to the new definition, all flaps can be precisely classified based on the corresponding "perforator".
Identifiants
pubmed: 33330765
doi: 10.35772/ghm.2019.01009
pmc: PMC7731185
doi:
Types de publication
Journal Article
Langues
eng
Pagination
114-116Informations de copyright
2019, National Center for Global Health and Medicine.
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