Introduction The purpose of this chapter is to discuss the general principles, challenges, and opportunities in establishing a reconstructive transplant program. The authors bring the experience of two centers in two different countries with significantly differing healthcare systems: the United…
Introduction Reconstructive surgery has, as its premise, the principle of restoring form and function utilizing surrounding or distant tissues while minimizing morbidity at the donor site. While muscle flaps remain a viable option for reconstructive surgery, their use has become…
Figure 61.1 Posterior tibial artery perforator flap. Open full size image Introduction In the field of reconstructive surgery, not a day goes by without a skin flap being used. The earliest description of skin flaps was by Sushruta in 600…
Figure 60.1 Tensor fascia lata perforator flap. Open full size image Introduction The tensor fascia lata (TFL) flap is one of the well-known flaps with a reliable and constant pedicle. This flap has served as a workhorse flap for a…
Figure 59.1 (Left) Anterolateral thigh flap; (Right) Anteromedial thigh flap. Open full size image Introduction In 1984, Song and colleagues introduced the anterolateral thigh flap based on septocutaneous branches of the descending branch of the lateral circumflex femoral artery. Since…
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…