Related Experiment Video
Updated: Jul 16, 2025

Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor
Published on: August 1, 2022
Perforator-Based Propeller Flap with Additional Venous Pedicle for Lower Limb Reconstruction
Jiten Kumar Mishra1, Shamendra Anand Sahu1, Narendra Kuber Bodhey2
1Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Abstract:
Propeller flaps are effective reconstructive tools for small-to-medium sized defects of the lower limb and a reasonable alternative to free flaps. A major vessel of the lower limb remains undisturbed while raising the flap and the flap donor and recipient areas are addressed in the same operative field. Perforator-based propeller flaps are based on single perforator arising from a major vessel and during rotation of the larger paddle there is a possibility of kink in the venous component leading to congestion of flap. In our modification, one superficial vein of the lower limb namely the great saphenous or short saphenous vein was included in the flap territory to enhance the retrograde or antegrade venous drainage of the flap. We observed, no flap congestion or necrosis in the postoperative period. Also, the patency of the incorporated vein was confirmed using handheld and color Doppler.

