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Microdissected Prefabricated Flap: An Evolution in Flap Prefabrication.

Süleyman Taş¹

¹Department of Plastic, Reconstructive and Aesthetic Surgery, Medical Park Hospital, Istanbul, Turkey.

Archives of Plastic Surgery

|November 30, 2016

Summary

This study introduces a microdissected prefabricated flap technique for creating large, thin flaps when traditional methods fail. This innovative approach minimizes venous congestion and improves flap survival, offering a safer alternative for reconstructive surgery.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Microsurgery

Background:

Traditional flap prefabrication can be complex and lead to venous congestion.
Neoangiogenesis and vascular carriers are often required, adding to the procedure's complexity.
Existing techniques have limitations requiring further improvement for optimal outcomes.

Purpose of the Study:

To present a novel microdissected prefabricated flap technique.
To address the limitations of conventional flap prefabrication, particularly venous congestion.
To demonstrate a method for creating safe, large, and thin flaps.

Main Methods:

Extensive microdissection of perforator vessels to the subdermal level.
Utilizing the dissected perforators as an integrated vascular carrier within the flap.

Keywords:

Fluorescein Injections Microdissection Microsurgery Surgical flap

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Detailed presentation of the technique's application and surgical procedure.

Main Results:

Successful creation of safe, large, and thin prefabricated flaps.
Reduced incidence of venous congestion compared to traditional methods.
Demonstrated feasibility and effectiveness of the microdissection approach.

Conclusions:

The microdissected prefabricated flap is a viable and improved technique for reconstructive surgery.
This method offers enhanced safety and flap viability by optimizing vascular supply.
The technique provides a valuable alternative when conventional flap methods are not feasible.