Related Experiment Video
Updated: Jul 6, 2025
08:31
Fabrication of Engineered Vascular Flaps Using 3D Printing Technologies
Published on: May 19, 2022
3.9K
Extensive Defect Reconstruction Using Multiple Perforator Propeller Flaps in a Jigsaw Puzzle Approach.
Yiou Wang1, Shengyang Jin1, Mengqing Zang1
1From the Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College.
Plastic and Reconstructive Surgery
|January 9, 2024
Summary
Multiple perforator propeller flaps offer an effective solution for extensive defect reconstruction, particularly for the posterior trunk and perineum, with high flap survival rates.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Reconstructing extensive defects presents significant surgical challenges.
- Multiple perforator propeller flaps are an emerging reconstructive technique.
Purpose of the Study:
- To report the authors' experience with extensive defect reconstruction using multiple perforator propeller flaps.
- To systematically review the literature on this reconstructive approach.
Main Methods:
- Retrospective study of patients undergoing reconstruction with multiple perforator propeller flaps (2014-2021).
- Systematic literature review of reconstructive strategies using perforator propeller flaps (PubMed, Web of Science, Embase, Scopus).
Main Results:
- Sixty-five perforator propeller flaps were used in 30 patients for extensive defect reconstruction.
- The posterior trunk was the most common defect site (66.7%).
- High flap survival (93.8%) with a low overall complication rate (4.7% for posterior trunk/perineal defects).
Conclusions:
- Multiple perforator propeller flaps, utilized in a jigsaw puzzle manner, are effective for extensive posterior trunk and perineal defect reconstruction.
- This approach demonstrates a favorable safety and efficacy profile for complex reconstructive challenges.
