Taş Süleyman
Department of Plastic, Reconstructive and Aesthetic Surgery, Medical Park Hospital, Istanbul, Turkey.
Arch Plast Surg. 2016 Nov;43(6):599-603. doi: 10.5999/aps.2016.43.6.599. Epub 2016 Nov 18.
When traditional flap techniques are not feasible, we apply flap prefabrication, which is more complicated and sophisticated but supplies large and thin flaps. There are some disadvantages to the technique that require improvement, such as venous congestion after flap transfer, which requires months for neoangiogenesis and necessitates a vascular carrier. Here, the author presents a new technique, called as 'microdissected prefabricated flap,' to successfully produce a safe, large, and thin flap. This technique is based on the microdissection of the perforators to the greatest extent possible, spreading them out into the subdermal level and using them as a carrier. The details and the application of this technique are presented and reported.
当传统皮瓣技术不可行时，我们采用皮瓣预制技术，该技术更为复杂精细，但能提供大而薄的皮瓣。该技术存在一些需要改进的缺点，例如皮瓣转移后静脉淤血，这需要数月时间进行新生血管形成，并且需要一个血管载体。在此，作者提出一种名为“显微解剖预制皮瓣”的新技术，以成功制作出安全、大且薄的皮瓣。该技术基于尽可能最大限度地显微解剖穿支血管，将它们扩展到皮下层面并将其用作载体。本文介绍并报告了该技术的细节及应用。
