“Vascular preparation first”: a valuable strategy in anterolateral thigh flap harvest

“Vascular preparation first”: a valuable strategy in anterolateral thigh flap harvest The anterolateral thigh flap is one of the most popular flaps in reconstructive surgery today. Versatility and minimal donor site morbidity are the distinct advantages of using this flap. However, possible anatomic variations in perforators or source vessels may present a challenge to the novice surgeons and those who are not familiar with the flap anatomy. These challenges may compromise flap reliability and undermine surgeon’s confidence. Therefore, to allow surgeons, especially in their first ALTs, to harvest a reliable ALT no matter how challenging the anatomy is, the authors propose a stepwise strategy that is reproducible and safe. As a result, the proposed approach of identifying available skin vessels first, addressing source vessels second, and revealing the origin and the course of skin vessels and source vessels third will simplify ALT flap harvest and allow flexibility in design. Level of Evidence: Level IV, therapeutic study. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

“Vascular preparation first”: a valuable strategy in anterolateral thigh flap harvest

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2013 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-013-0860-1
Publisher site
See Article on Publisher Site

Abstract

The anterolateral thigh flap is one of the most popular flaps in reconstructive surgery today. Versatility and minimal donor site morbidity are the distinct advantages of using this flap. However, possible anatomic variations in perforators or source vessels may present a challenge to the novice surgeons and those who are not familiar with the flap anatomy. These challenges may compromise flap reliability and undermine surgeon’s confidence. Therefore, to allow surgeons, especially in their first ALTs, to harvest a reliable ALT no matter how challenging the anatomy is, the authors propose a stepwise strategy that is reproducible and safe. As a result, the proposed approach of identifying available skin vessels first, addressing source vessels second, and revealing the origin and the course of skin vessels and source vessels third will simplify ALT flap harvest and allow flexibility in design. Level of Evidence: Level IV, therapeutic study.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Dec 1, 2013

References

  • Application of the pedicled anterolateral thigh flap to defects from the pelvis to the knee
    Gravvanis, AI; Tsoutsos, DA; Karakitsos, D; Panayotou, P; Iconomou, T; Zografos, G; Karabinis, A; Papadopoulos, O
  • Anatomical variability of the anterolateral thigh flap perforators between sexes: a cadaveric study
    Zachara, M; Drozdowski, P; Wysocki, M; Siewiera, I; Wójcicki, P

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