Taipei and Kaohsiong, Taiwan From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Chang Gung University, and Chang Gung Memorial Hospital, Kaohsiong.
Plast Reconstr Surg. 2009 Dec;124(6 Suppl):e419-e426. doi: 10.1097/PRS.0b013e3181bcf189.
Technical advancements and increased experience with perforator flap techniques have allowed the harvest of flaps in a free-style manner.
To perform free or local island pedicled flaps using the free-style concept, one requires mature skills in retrograde dissection of vascular pedicles and in using a hand-held Doppler device. To keep the technique safe, certain principles should be remembered and are detailed in this article.
The free-style flap concept provides unparalleled freedom when choosing local or distant soft tissues for reconstructing a defect.
Potential pitfalls during free-style flap harvest can be avoided if the presented principles are adhered to. Newer imaging modalities may prove useful for assessing vessels supplying any cutaneous territory.
随着穿支皮瓣技术的进步和经验的增加，以自由式方式采集皮瓣成为可能。
使用自由式概念进行游离或局部岛状带蒂皮瓣，需要在逆行解剖血管蒂和使用手持式多普勒设备方面具备成熟的技能。为了确保技术的安全性，需要记住并在本文中详细说明某些原则。
在选择用于重建缺损的局部或远处软组织时，自由式皮瓣概念提供了无与伦比的自由度。
如果遵循所提出的原则，可以避免自由式皮瓣采集过程中的潜在陷阱。较新的成像方式可能有助于评估供应任何皮肤区域的血管。
