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Related Experiment Video

Updated: Aug 4, 2025

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

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

Published on: January 15, 2017

Reducing Risks for Local Skin Flap Failure.

David B Hom¹, Benjamin T Ostrander¹

¹Department of Otolaryngology-Head and Neck Surgery, University of California San Diego, 9300 Campus Point Drive, MC 7895, La Jolla, CA 92037-7895, USA.

Facial Plastic Surgery Clinics of North America

|March 31, 2023

Summary

Local tissue flaps are crucial for skin reconstruction. Understanding flap vascularity and surgical technique minimizes failure risks, while prompt intervention addresses issues like hematoma or kinking to salvage compromised flaps.

Keywords:

Facial plastic surgery Flap salvage Local flaps Mohs surgery Plastic and reconstructive surgery Reconstruction

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In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

Area of Science:

Plastic Surgery
Reconstructive Surgery
Tissue Engineering

Background:

Local tissue flaps are essential for cutaneous reconstruction.
Flap survival is paramount, with intrinsic vascularity being the key determinant.
Surgical technique significantly impacts flap compromise risk.

Purpose of the Study:

To highlight the critical factors influencing local tissue flap success.
To outline common causes of flap compromise.
To emphasize the importance of prompt diagnosis and intervention for failing flaps.

Main Methods:

Review of fundamental principles in flap design and surgical handling.
Analysis of common etiologies leading to flap compromise.
Discussion of salvage strategies for compromised flaps.

Main Results:

Intrinsic flap vascularity is the most critical factor for success.
Poor surgical technique, hematoma, and pedicle kinking are frequent causes of flap failure.
Early identification of compromise and swift action are vital for flap salvage.

Conclusions:

Optimizing flap design, tissue handling, and closure reduces failure risk.
Accurate diagnosis of the cause of compromise (arterial, venous, etc.) is essential for effective salvage.
Timely intervention to restore perfusion or venous outflow is critical for saving failing flaps.