Perignon D, Qassemyar Q, Benhaim T, Robbe M, Delay E, Sinna R
Service de chirurgie plastique et reconstructrice, hôpital nord, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France.
Ann Chir Plast Esthet. 2011 Apr;56(2):149-55. doi: 10.1016/j.anplas.2010.09.015. Epub 2010 Oct 29.
Flap surgery is the art of transposing an autonomous vascularised tissue, from a donor site to a distant recipient site. It was born 2000 years ago in India, evolving from random flaps to microsurgical flaps with a skeletonised vascular pedicle. This evolution was possible through the knowledge of cutaneous vascularisation and allows today the spreading field of perforator flaps. Writing the story of any particular flap is, in fact, looking back to understand the global concept and evolution of flaps surgery. Therefore the authors detail every step of the development and technical improvement of the thoracodorsal flap from the classical musculocutaneous latissimus dorsi flap to one of its latest achievement, the thoracodorsal perforator flap. This story helps us to appreciate the armamentarium of thin and low donor site morbidity flap that perforator flaps offer to us.
皮瓣手术是将一块具有自主血供的组织从供区转移至远处受区的技术。它于2000年前诞生于印度，从随意皮瓣发展到带有骨骼化血管蒂的显微外科皮瓣。这种演变得益于对皮肤血管化的认识，使得如今穿支皮瓣的应用领域得以拓展。实际上，撰写任何一种特定皮瓣的发展历程，就是回顾并理解皮瓣手术的整体概念和演变过程。因此，作者详细阐述了胸背皮瓣从经典的背阔肌肌皮瓣到其最新成果之一——胸背穿支皮瓣的每一步发展及技术改进。这个历程有助于我们认识到穿支皮瓣为我们提供的薄型且供区并发症少的皮瓣手术器械。
