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Related Concept Videos

Papillary Dermis01:11

Papillary Dermis

Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen and...

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Related Experiment Video

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An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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Pedicled perforator flaps in the trunk.

Moustapha Hamdi1, Filip B J L Stillaert

  • 1Department of Plastic and Reconstructive Surgery, University Hospital Gent, De Pintelaan 185, Gent 9000, Belgium. moustapha.hamdi@ugent.be

Clinics in Plastic Surgery
|September 7, 2010
PubMed
Summary

Reconstructing trunk defects involves selecting regional flaps for tension-free tissue restoration. Careful donor site selection minimizes morbidity while ensuring reliable flap coverage and uncomplicated surgical techniques.

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Related Experiment Videos

Last Updated: Jun 9, 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

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Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor
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Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor

Published on: August 1, 2022

Area of Science:

  • Reconstructive surgery
  • Plastic surgery
  • Surgical oncology

Background:

  • Trunk defects necessitate complex reconstruction.
  • Various regional flaps are available for trunk defect repair.
  • Donor site selection and flap characteristics are critical.

Purpose of the Study:

  • To review regional flap options for trunk defect reconstruction.
  • To outline criteria for selecting appropriate flaps and donor sites.
  • To emphasize achieving adequate coverage with minimal morbidity.

Main Methods:

  • Review of anatomical principles for regional flaps.
  • Discussion of donor site assessment and potential morbidity.
  • Evaluation of flap characteristics for coverage and infection resistance.

Main Results:

  • Regional flaps from shoulder, epigastric, paraspinal, or pelvic regions can be utilized.
  • Successful reconstruction requires tension-free tissue restoration and secure closure.
  • Donor site quality and anticipated morbidity are key considerations.

Conclusions:

  • Optimal trunk defect reconstruction balances functional restoration with minimal donor site morbidity.
  • Pedicled flaps offer reliable anatomy but require versatile configurations for adequate coverage.
  • Uncomplicated surgical techniques are essential for successful outcomes.