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Related Experiment Video

Updated: Dec 6, 2025

Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor
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Propeller Flaps for Hand and Digit Reconstruction.

Pierluigi Tos1, Alessandro Crosio1, Pierfrancesco Pugliese2

  • 1Hand Surgery and Reconstructive Microsurgery Department, ASST Gaetano Pini-CTO, Milan, Italy.

Seminars in Plastic Surgery
|October 12, 2020
PubMed
Summary
This summary is machine-generated.

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Perforator flaps offer a solution for hand soft tissue defects, reducing donor site morbidity. These flaps, including propeller flaps, provide robust vascularization and preserve tissue characteristics, aiding in reconstruction after trauma or tumor removal.

Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Hand Surgery

Background:

  • Reconstructing soft tissue defects in the hand is challenging due to complex tissue differentiation.
  • Traditional intrinsic hand flaps often result in significant donor-site morbidity.

Purpose of the Study:

  • To explore the utility of perforator flaps for hand soft tissue reconstruction.
  • To highlight the benefits of perforator flaps in minimizing donor-site morbidity and preserving tissue characteristics.

Main Methods:

  • Harvesting perforator flaps based on discrete perforator vessels in the hand.
  • Applying the propeller flap concept for specific reconstructive scenarios, such as finger amputations.
  • Utilizing microsurgical techniques for dissection and preservation of vascularization.
Keywords:
amputationdigithandperforator flapspropeller flaps

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Main Results:

  • Perforator flaps ensure robust vascularization of transferred tissues.
  • These flaps allow for reconstruction that respects the like-with-like principle, maintaining volar and dorsal skin characteristics.
  • Propeller flaps are effective in preserving finger length with exposed bone.

Conclusions:

  • Perforator flaps, including propeller flaps, represent an advancement in hand soft tissue reconstruction.
  • These techniques reduce donor-site morbidity compared to traditional methods.
  • Microsurgical skills are essential for optimal outcomes, especially with volar and digital perforator flaps.