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Related Experiment Videos

Vascularized megaflaps

A E Belousov1, S D Kichemasov, A Y Kochish

  • 1Department of Traumatology, Medicomilitary Academy, Leningrad, Russia.

Annals of Plastic Surgery
|July 1, 1993
PubMed
Summary
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Japanese surgeons developed "megafaps," which are very long free flaps using two vascular pedicles. These flaps offer new donor site possibilities for complex reconstructive surgery.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • The early 1980s saw the introduction of extended free flaps by Japanese surgeons.
  • These flaps utilized dual vascular pedicles for enhanced viability.

Observation:

  • Very long free flaps, termed "megafaps," were developed based on thoracodorsal and groin vascular territories.
  • These megaflaps are vascularized through two distinct pedicles, allowing for flexible anastomotic strategies.

Findings:

  • The dual-pedicle vascularization of megaflaps enables surgeons to connect one or both vascular bundles as needed.
  • Anatomical research and clinical practice are identifying novel donor sites suitable for harvesting these extensive flaps.

Implications:

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  • Megafaps represent an advancement in reconstructive surgery, offering solutions for complex defects.
  • The identification of new donor sites expands the applicability and versatility of megaflap techniques in clinical practice.