Microdissected Prefabricated Flap: An Evolution in Flap Prefabrication

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.

Keywords

Fluorescein - Injections - Surgical flap - Microdissection - Microsurgery

This article contains supplemental Video S1 and Slide 1.

This report was presented as an extended oral presentation at the 7th European Plastic Surgery Research Council (EPSRC) Congress, 27–30 August 2015, in Hamburg, Germany, and the abstract of the presentation was published in Plastic and Reconstructive Surgery (Taş S. A new concept in flap prefabrication by supermicrosurgery: microdissected prefabricated flap. Plast Reconstr Surg 2015;136:437-8).

Publication History

Received: 20 February 2016

Accepted: 12 April 2016

Article published online:
20 April 2022

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