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Development of Skin Flaps for Reconstructive Surgery: Random Pattern Flap to Perforator Flap

2016; University of Tokushima; Volume: 63; Issue: 3.4 Linguagem: Inglês

10.2152/jmi.63.159

1349-6867

Ichiro Hashimoto, Yoshiro Abe, Soshi Ishida, Keisuke Kashiwagi, Kazuhide Mineda, Yutaro Yamashita, Ryosuke Yamato, A. Toda, Yutaka Fukunaga, Sho Yoshimoto, Tatsuya Tsuda, Shinji Nagasaka, Tsuyoshi Keyama,

Organ and Tissue Transplantation Research

Flap transplantation has been an important procedure in plastic and reconstructive surgery to cover and fill various defects.Flap necrosis due to blood circulation failure leads to severe complications, especially in a patient undergoing reconstruction concerning the body cavity after tumor ablation.Surgical procedures for flap transplantation have been further improved and developed.We have reviewed from the random pattern flap to the newest procedure, the perforator flap.Perforator vessels were investigated in the process of development of the fasciocutaneous flap and have become important for blood supply of the skin flap.Blood circulation of the flap has become more stable and reliable than ever with the development and findings of the perforator vessels.Further development of a skin flap will be based on the perforasome concept, which involves the study of the territory and linking of perforator vessels.