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Flail Chest-II

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

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Related Experiment Video

Updated: Jun 25, 2025

Engineered Vascularized Muscle Flap

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

A Comprehensive Flap Classification: Beyond the Reconstructive Ladder.

Jun Yi Soh¹, Lucia Pannuto, Ruben Yap Kannan

¹From the Department of Plastic Surgery, Queen Victoria Hospital, East Grinstead, United Kingdom.

Annals of Plastic Surgery

|May 24, 2024

Summary

This summary is machine-generated.

This study introduces a new 3-category classification for free-style flaps, including angiosomal, extra-angiosomal, and neoangiosomal types. This aims to unify terminology and enhance knowledge exchange in reconstructive surgery.

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Area of Science:

Reconstructive Surgery
Microsurgery
Vascular Surgery

Background:

Perforator flap techniques have advanced significantly due to improved vascular imaging and supermicrosurgery.
Current practices are shifting from traditional angiosomal flaps to customized flap variations.

Purpose of the Study:

To propose a broadened classification system for free-style flaps.
To unify existing classifications and facilitate knowledge exchange in reconstructive surgery.

Main Methods:

Development of a novel 3-category classification for free-style flaps: angiosomal, extra-angiosomal, and neoangiosomal.
Categorization based on vascular supply and tissue origin.

Main Results:

The proposed classification includes angiosomal flaps (traditional variations), extra-angiosomal flaps (incorporating different angiosomes), and neoangiosomal flaps (utilizing neoangiogenesis).
Examples provided include turbocharging/supercharging for extra-angiosomal flaps and venous flow-through/Integra flaps for neoangiosomal flaps.

Conclusions:

The new classification aims to standardize terminology for free-style flaps.
This unification is expected to improve the exchange of ideas and techniques among surgeons.