Minimally invasive soft tissue reconstruction with free peroneal artery perforator flap

2016 ◽  
Vol 2 (8) ◽  
Author(s):  
Kenji Kawamura ◽  
Hiroshi Yajima ◽  
Shohei Omokawa ◽  
Takamasa Shimizu ◽  
Naoki Maegawa ◽  
...  

<p> </p><p><span style="font-family: Times New Roman;"> The development of a concept of perforator flap has dramatically changed the soft tissue reconstructive surgery. The surgery with perforator flaps enables to minimize donor-site morbidity by preserving important tissues including the muscle and the major vessel. The peroneal artery perforator flap is one of perforator flaps that can be harvested from the lower leg. The peroneal artery perforator flap has been widely used as a local flap for soft tissue reconstruction in the lower extremity; however, the free peroneal artery perforator flap transfer has been little reported. Utilities of the free peroneal artery perforator flap for soft tissue reconstruction of the extremities are reported, and minimally invasive flap surgery with perforator flaps is reviewed.</span></p><p> </p>

2017 ◽  
Vol 02 (02) ◽  
pp. e136-e139
Author(s):  
Kenji Kawamura ◽  
Hiroshi Yajima ◽  
Shohei Omokawa ◽  
Takamasa Shimizu ◽  
Satoshi Hayashi ◽  
...  

Background The peroneal artery perforator-based flap has been widely used as a pedicled propeller flap for soft tissue reconstruction in the lower extremity; however, its application as a free flap has been rarely reported. We report on the utility of the free peroneal artery perforator-based flap for finger soft tissue reconstruction. Methods Twelve patients underwent reconstructions of soft tissue defects of the finger with free peroneal artery perforator-based flaps. The soft tissue defects were located either dorsally and/or laterally on the fingers. The size of the flaps ranged from 5 × 2 to 8 × 3 cm. The length of the vascular pedicles ranged from 4 to 5 cm. The artery and vein of the perforator vessels were anastomosed in the finger to the digital artery and subcutaneous vein, respectively. Results All twelve flaps survived completely, and the donor site in the lower leg was closed primarily in all cases. Secondary defatting was performed in six cases, while in the remaining cases, thinning of the flap was performed when the flap was transferred. Conclusion The advantages of the free peroneal artery perforator-based flap for finger soft tissue reconstruction include the following: the flap is flexible and can be thinned to match the texture of the finger; elevation of the flap is easy; the donor site can be closed primarily; there is no need to sacrifice any main arteries in the lower leg; and the diameter of the perforator vessels is suitable for anastomosis to the digital artery and subcutaneous vein in the finger.


2011 ◽  
Vol 67 (3) ◽  
pp. 294-298 ◽  
Author(s):  
Daping Yang ◽  
Jenny F. Yang ◽  
Steven F. Morris ◽  
Maolin Tang ◽  
Chunlei Nie

2021 ◽  
Vol 86 (2S) ◽  
pp. S113-S118
Author(s):  
Dun-Hao Chang ◽  
Chi-Ying Hsieh ◽  
Che-Wei Chang ◽  
Ke-Chung Chang ◽  
Chien-Lung Chan

2003 ◽  
Vol 30 (3) ◽  
pp. 371-382 ◽  
Author(s):  
Phillip N Blondeel ◽  
Koenraad Van Landuyt ◽  
Moustapha Hamdi ◽  
Stan J Monstrey

Microsurgery ◽  
2016 ◽  
Vol 38 (1) ◽  
pp. 34-45 ◽  
Author(s):  
Zaher Jandali ◽  
Martin C. Lam ◽  
Kiomars Aganloo ◽  
Benedikt Merwart ◽  
Jouke Buissink ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document