[Experimental and clinical study on the blood supply of the subdermal vascular network island flap]

A comparison study on the blood supply of the buttock subdermal vascular network island skin flap and the conventional buttock island flap was undertaken in pigs. The former was created by thinning the distal half of the conventional buttock island flap, preserving the subdermal vascular network. Evaluation was made by measurement of skin temperature, laser Doppler, fluorescence stain, ink perfusion, microangiography and transparent specimen technique. It was found that the blood supply of the subdermal vascular network island skin flap was much lower than that of the conventional island flap. The reason was thought to be the change in the blood supply after the conventional island flap was thinned. The subdermal vascular network island skin flap was composed of the axial pattern and the random pattern. Fifteen subdermal vascular network island skin flaps have been successfully transferred with vessel anastomosis in 15 patients. The average area of the thinned distal part was 49% of the flap, with the maximum of 60%.