The flap elevation technique is relatively simple, perforator
location or skeletalisation is not needed and hence can easily be duplicated by young surgeons.
Unfortunately, even when properly designed with perforators
at the base of the flap, the distal- most portion is often random in its blood supply.
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.
from the anterior interventricular artery (AIV)
taps have been used to reduce postoperative pain, shorten hospital stay, and lessen donor-site complications.
For example, Diamond Manufacturing, one of the country's largest custom perforators
, began producing screens for the coal industry in northeast Pennsylvania in 1915, but as demand for coal screens declined, the company's output switched to architectural grilles.
were seen in most of the cases in the present study (43 limbs, 93.
With the patient in the prone position, the anatomical landmarks are drawn and the SGA and its perforators
are identified with the help of unidirectional Doppler ultrasound.
5) The pedicled SGAP flap was elevated on perforators
from the superior gluteal artery by careful dissection of the musculocutaneous perforators
from the gluteus maximus muscle.
of Patients 1 Saphenofemoral Ligation Only 2 2 Saphenofemoral Ligation with 45 Subfascial Perforators
Ligation 3 Saphenofemoral Ligation, 16 Saphenopopliteal and Perforators
Ligation 4 Perforators
Ligation only 4 5 Saphenofemoral Ligation, Perforators
15 Ligation with Segmental excision of varicosities 6 Along with SSG for ulcers 10 Table 1.
The venous function was measured with duplex scan (Colour Doppler) and preop mapping of superficial venous system and incompetent perforators
with the help of a Sonologist, experienced with study of vascular disorders.
Contract notice: The Supply of Staples, Staplers and Perforators