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Progress in free tissue transfer.

B M O'Brien¹, P A Kumar

¹Microsurgery Research Centre, St. Vincent's Hospital, Fitzroy, Victoria, Australia.

World Journal of Surgery

|November 1, 1990

Summary

Microsurgical techniques enable versatile free tissue transfer for reconstructive surgery, offering solutions beyond classical methods. This review details various microsurgical flaps and their applications in complex defect repair.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Microsurgery

Background:

Classical reconstructive methods have limitations.
Microsurgical techniques offer expanded tissue transfer capabilities.
Free tissue transfer is crucial for complex defect coverage.

Purpose of the Study:

To survey well-classified microsurgical flaps.
To detail their indications and limitations.
To discuss advancements in tissue transfer.

Main Methods:

Review of established and advanced microsurgical flap classifications.
Inclusion of free transfer of diverse tissues: skin, muscle, bone, nerves, and joints.
Discussion of prefabricated flaps.

Main Results:

Microsurgical flaps are effective for defects in the lower extremity, head and neck, breast, abdominal wall, and hands.
Detailed descriptions of various flap types (skin, fasciocutaneous, septocutaneous, musculocutaneous) are provided.
Latest knowledge on free transfer of specialized tissues is included.

Conclusions:

Microsurgical techniques significantly enhance reconstructive possibilities.
Free tissue transfer, including specialized tissues, provides versatile solutions for complex defects.
Prefabricated flaps represent a future direction in reconstructive surgery.

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