Specific topics include free fibula flap for midface reconstruction, lower eyelid reconstruction with palatal grafts, free flap for hemi-tongue reconstruction, skate flap for nipple reconstruction, hernia repair with open component separation, superior gluteal artery
perforator flap, the medial plantar flap, and pediatric facial reinaimation using a functional gracilis muscle transfer.
Perforator veins, that connect the deep and superficial venous networks, play an important role in the initiation and progression of varicose vein dilatation, as the presence of reflux in the
perforator veins leads to increased venous pressure in the superficial venous network, with secondary varicose dilation of superficial veins (9,10).
It can also be raised as a superficial circumflex iliac
perforator flap.
The reconstruction was performed with tendon-fasciocutaneous peroneal artery
perforator flap, in a propeller manner translation, with good function of the limb with minimum recovery time.
Though free flap remains the first choice for such defects[1] followed by locoregional flaps like reverse sural artery flap,[2] inferiorly based fasciocutaneous flaps[3] and
perforator flaps.[4] The cross-leg flap is a saviour in difficult situations, where microvascular expertise is not available or when the injury to the involved leg is of such magnitude that no local/ regional tissue is available for wound coverage.
The fate of calf
perforator veins after saphenous vein laser ablation.
Short LAD runs in the anterior interventricular groove, giving rise to septal
perforator and ends in the proximal anterior interventricular groove.
We describe a case that can be classified as a type I according to Vince and Miller [1] and area 5 according to Hastings II and Graham [3], with a history of double recurrence and a Darrach procedure [13] already performed, treated by synostosis resection and interposition with an adipofascial dorsoulnar artery (DUA)
perforator flap.
Retrograde filling of the distal RCA occurred via a septal
perforator from the left anterior descending artery (LAD) (Figure 1(b)).
[1-3] This article outlines our experience specifically with
perforator pedicled propeller flaps (as per the Tokyo consensus [4]) for traumatic defects of the leg.