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Giant combined microdissected thin thigh perforator flap.

N Kimura¹, M Saito, Y Itoh

¹Plastic and Reconstructive Surgery, Fujigaoka Hospital, Showa University School of Medicine, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa 227-8501, Japan. k-now@mc.neweb.ne.jp

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|November 23, 2006

Summary

A new microdissection technique allows for the transfer of extremely wide and thin flaps from the thigh for reconstructive surgery. This method, combining anterolateral thigh and tensor fasciae latae perforator flaps, offers a safe solution for extensive tissue coverage.

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Area of Science:

Reconstructive Surgery
Microsurgery
Plastic Surgery

Background:

Extremely wide and thin flap coverage is challenging in reconstructive surgery.
Previous techniques have limitations in achieving both width and thinness simultaneously.
Advancements in microsurgical techniques are crucial for complex reconstructions.

Purpose of the Study:

To describe a novel microdissection technique for transferring a very wide and thin combined flap from the thigh.
To detail the simultaneous microdissection of anterolateral thigh flap perforators and tensor fasciae latae perforator flap.
To evaluate the safety and efficacy of this giant flap technique based on clinical experience.

Main Methods:

Simultaneous microdissection of perforators from the anterolateral thigh flap and tensor fasciae latae perforator flap.

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Engineered Vascularized Muscle Flap

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Elevation of these two perforator flaps in combination, based on a common vascular pedicle.

Application of the technique in 60 clinical cases for extensive flap coverage.

Main Results:

Successful transfer of extremely wide and thin flaps was achieved.
The combined flap provided adequate coverage for complex defects.
The procedure demonstrated safety and reliability in a significant number of clinical cases.

Conclusions:

The described microdissection technique enables the creation of exceptionally wide and thin combined thigh flaps.
This method offers a safe and effective solution for reconstructive challenges requiring extensive tissue.
The simultaneous elevation based on a common pedicle is a key innovation for giant flap transfer.