• Negative pressure induced hyperemia, a new modality in the monitoring of skin paddle containing free flaps

    One year ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    In free tissue transfer, monitoring is paramount to timely detect vascular complications. While various technical methods have been introduced, clinical flap monitoring and here particularly capillary refill testing remains the gold standard. In pale flaps, CRT is challenging as it relies on the color difference between blanched and perfused skin. We propose a new method of negative pressure induced hyperemia using handheld electrical negative pressure devices to improve flap monitoring.
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  • Additional Venous Anastomosis in Free Profunda Artery Perforator Flap Transfer using the Posterior Accessory Saphenous Vein

    One year ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    The profunda artery perforator flap has recently been widely used for head and neck as well as breast reconstruction. Although this flap has various advantages, its vascular pedicle is relatively smaller and shorter than that of other workhorse flaps, such as the anterolateral thigh flap. The posterior accessory saphenous vein is a branch of the great saphenous vein, which runs in the posteromedial aspect of the thigh and can be included in the PAP flap. Here we present the anatomical characteristics of the pASV and feasibility of its use in PAP flap transfers.
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