There is no need for Doppler detection of perforators
; flap base will invariably have good number of perforators
Evolving concepts of keystone perforator
flap: principles of perforator
anatomy, design modifications and extended clinical applications.
Patients with peripheral vascular disease and diabetes, patients with CCF having ejection fraction less than 30%, patients with trauma/wound over the lateral aspect of leg with possibility of perforator
damage were excluded from the study.
pedicled propeller flap is a useful and versatile option for coverage of compound lower limb defects, where the alternative means of coverage would have been a free flap.
The same infraumbilical tissue used for the TRAM flap reconstruction is used in the deep inferior epigastric perforator
(DIEP) flap, with the advantage of avoiding disruption to the muscle and fascia.
Small septal perforators
arose from the deeper surface of posterior interventricularartery.
Between 2000 and 2004, 71 diabetic patients (50 men, 21 women) with infected foot ulcers underwent reconstruction with an anterolateral thigh perforator
flap at Ulsan Hospital.
Despite the fact that there is still controversy over whether to amputate or salvage the diabetic foot, anterolateral thigh perforator
flaps can be used to achieve independent ambulation, and free microsurgical tissue transfer can be an alternative to amputation if the vascular supply is reliable," said Dr.
flaps were conceived to decrease morbidity at the donor site.
Or DIYers can go for the decorator's hire pack special, which includes an electric wallpaper stripper, perforator
But from a job-costing standpoint, if you have more than a few parts (because turret presses are slow) or a design with high open area or wide margins, you should go to a perforator