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Volume 39 Issue 10
Oct.  2023
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2023  >  39(10): 911-918
Zhang PH.A brief discussion on the harvest of thinned perforator flap, detection of perforator vessels, and evaluation of flap blood supply[J].Chin J Burns Wounds,2023,39(10):911-918.DOI: 10.3760/cma.j.cn501225-20230812-00047.
Citation: Zhang PH.A brief discussion on the harvest of thinned perforator flap, detection of perforator vessels, and evaluation of flap blood supply[J].Chin J Burns Wounds,2023,39(10):911-918.DOI: 10.3760/cma.j.cn501225-20230812-00047.
shu

A brief discussion on the harvest of thinned perforator flap, detection of perforator vessels, and evaluation of flap blood supply

doi: 10.3760/cma.j.cn501225-20230812-00047

  • Department of Burns and Plastic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China

Funds:

General Program of National Natural Science Foundation of China 81772084

  • Received Date: 2023-08-12
    Abstract
  • Repair and reconstruction surgery is not just a simple repair and reconstruction of tissue and organ defects in different parts, but also requires perfect repair that matches the defect and confuses the real. The thinning strategy of perforator flap is one of its main contents. In recent years, the concept of pure skin perforator flap and its clinical application have overturned the traditional concept that flaps must carry subdermal vascular plexus and improved our understanding of flap surgery, and it is expected to enhance the level of repair and reconstruction. This article explores the harvest of thinned perforator flaps, especially the harvest of innovative pure skin perforator flap with the thickness similar to full thickness skin, as well as the preoperative detection of perforator vessels, blood supply evaluation of perforator flaps, and their clinical applications. It proposes a "Jinshan" repair that perfectly matches the recipient area defect, and also prospects research on the perforasome and three-dimensional visualized digital anatomy of pure skin perforator flaps.

     

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