Introduction The superior gluteal myocutaneous free flap was first described by Fujino in 1975 for breast reconstruction. In 1978, Le Quang performed the first breast reconstruction with an inferior gluteal myocutaneous free flap. Shaw popularized the myocutaneous superior gluteal artery…
Figure 57.1 Deep and superficial inferior epigastric artery perforator flap. Open full size image Introduction Since the dawn of plastic surgery, the lower abdominal region has always been a loyal provider of abundant well-perfused tissue. First used in pedicled and…
Figure 56.1 Perforator flaps in the lateral thoracic region. Open full size image Introduction The conventional latissimus dorsi muscle or myocutaneous flap has undoubtedly served an important role as one of the most common flaps in reconstructive microsurgery. However, its…
Figure 55.1 Medial Femoral Condyle and Descending Genicular Artery Perforator Flaps. Open full size image Introduction Increasing knowledge of the blood supply to the distal femur has resulted in the development of a variety of composite flaps designed to include…
Introduction It is thanks to the illustrious Austrian surgeon, Carl Nicoladoni that the foot began to be considered as a precious warehouse for all requirements of thumb and digital reconstruction. In his three papers (1897, 1900, 1903), he described the…
Introduction The word glabrous is defined as “smooth, having a surface without hairs or projections.” Anatomically, glabrous skin is present on the palms of the hands and volar fingers, as well as the plantar surface of the feet and toes.…
Figure 52.1 Fibula flap. Open full size image Introduction With an outstanding length available for harvest, a solid and sizable bone stock, a reliable blood supply, an allowance for manipulation of the components of the flap while maintaining adequate blood…
Figure 51.1 Soleus flap. Open full size image Introduction The soleus muscle, one of the components of the superficial posterior compartment of the leg, was used initially as a local flap, as described by Ger and later, by Mathes and…
Figure 50.1 Gastrocnemius Flap. Open full size image Introduction The gastrocnemius flap is one of the most useful flaps. Described very early, it has been proven to be easy to raise and very reliable. Typically, it can be used by…
Introduction The gracilis flap was described in 1972 by Orticochea, as a pedicled myocutaneous flap, and the first cases included a penile reconstruction and one of calcaneal soft tissue coverage. It was one of the first myocutaneous flaps described in…