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Related Experiment Video

Updated: Jul 10, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

The free true perforator flap.

Tetsuji Yabe1, Makoto Takahashi, Masayuki Kamano

  • 1Department of Plastic and Reconstructive Surgery, Ishikiri-Seiki Hospital, Higashi-Osaka City, Osaka 579-8026, Japan.

Journal of Reconstructive Microsurgery
|November 6, 2007
PubMed
Summary

Free true perforator flaps offer a minimally invasive reconstructive option. This study details the first reported cases of using these flaps for hand and forearm reconstruction, preserving key blood vessels.

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Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Free perforator flaps are widely reported in reconstructive surgery.
  • The free true perforator flap, as classified by Koshima, represents a less invasive approach.
  • This technique aims to preserve main blood vessels at both donor and recipient sites.

Observation:

  • Two distinct cases of reconstruction were performed in the hand and forearm region.
  • The free true perforator flap technique was utilized in both instances.
  • The primary vessels at the donor and recipient sites were successfully preserved throughout the procedures.

Findings:

  • The application of free true perforator flaps for reconstruction in the hand and forearm region is feasible.
  • Successful outcomes were achieved in both reported cases.

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A Model of Free Tissue Transfer: The Rat Epigastric Free Flap
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Last Updated: Jul 10, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap
10:10

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

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  • This marks the initial documentation of free true perforator flaps in surgical literature.

    • Implications:

    • The findings suggest that free true perforator flaps are a viable and minimally invasive option for complex reconstructions.
    • This technique holds potential for reducing donor-site morbidity and improving patient recovery.
    • Further research into the long-term outcomes and broader applications of free true perforator flaps is warranted.