Perforator Flaps - The History of Evolution

Zusammenfassung

Dieser Artikel befasst sich mit der Geschichte der Perforator-Lappenplastik. Die Entwicklung aus der Haut-Fettlappenplastik und den muskulokutanen Lappenplastiken bis hin zur paraumbilikalen Perforanslappenplastik, Deep inferior epigastric artery (DIEP)-Lappenplastik und Gluteal artery perforator (GAP)-Lappenplastik wird dargestellt. Zahlreiche weitere Perforator-Lappenplastiken werden mit den relevanten Literaturstellen aufgezeigt. Zum Schluss wird mit der „Ultra-Mikrochirurgie“ ein Ausblick in die Zukunft gegeben.

Abstract

This article reviews the recent evolution of perforator flaps. The tie between perforator flaps and skin flaps as well as perforator flaps and musculocutaneous flaps is explained. The paraumbilical perforator flap, the deep inferior epigastric artery flap (DIEP flap), the gluteal artery perforator flap (GAP flap) and various perforator flaps and perforator-based flaps are described in combination with the review of the relevant literature. As a prospect into the future, the technique of “supra-microsurgery” is presented.

Schlüsselwörter

Perforator-Lappen - Ultra-Mikrochirurgie

Key words

Perforator flap - perforator-based flap - supra-microsurgery

References

• 1 Allen R J, Treece P. Deep inferior epigastric perforator flap for breast reconstruction.  Ann Plast Surg. 1994;  32 32-38
• 2 Allen R J, Tucker C. Superior gluteal artery perforator free flap for breast reconstruction.  Plast Reconstr Surg. 1995;  95 1207-1212
• 3 Angrigiani C, Grilli D, Siebert J. Latissimus dorsi musculocutaneous flap without muscle.  Plast Reconstr Surg. 1995;  96 1608-1614
• 4 Ao M, Mae O, Namba Y, Asagoe K. Perforator-based flap for coverage of lumbosacral defects.  Plast Reconst Surg. 1998;  101 987-991
• 5 Blondeel N, Vanderstraeten G G, Monstrey S J, Van Landuyt K, Tonnard P, Lysens R, Boeckx W D, Matton G. The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction.  Br J Plast Surg. 1997;  50 322-330
• 6 Blondeel P N. The sensate free superior gluteal artery perforator (S-GAP) flap: A valuable alternative in autologous breast reconstruction.  Br J Plast Surg. 1999;  52 185-193
• 7 Cavadas P C, Sanz Giminez Rico J R, Gutierrez de la Camera A, Navarro-Monzonis A, Soler-Nomdedeu S, Martinez-Soriano F. The medial sural artery perforator free flap.  Plast Reconstr Surg. 2001;  108 1609-1615
• 8 Deiler S, Pfadenhauer A, Widmann J, Stutzle H, Kanz K G, Stock W. Tensor fasciae latae perforator flap for reconstruction of composite Achilles tendon defects with skin and vascularized fascia.  Plast Reconstr Surg. 2000;  106 342-349
• 9 El-Khatib H A. Island fasciocutaneous flap based on the proximal perforators of the radial artery for resurfacing of burned cubital fossa.  Plast Reconstr Surg. 1997;  100 919-925
• 10 Elliott L F, Raffel B, Wade J. Segmental latissimus dorsi free flap: clinical applications.  Ann Plast Surg. 1989;  23 231-238
• 11 Feller A-M. Free TRAM. Results and abdominal wall function.  Clin Plast Surg. 1994;  21 223-232
• 12 Feller A-M, Galla T J. The deep inferior epigastric artery perforator flap.  Clin Plast Surg. 1998;  25 197-206
• 13 Giunta R, Geisweid A. Defining perforator flaps: what is really perforated?.  Plast Reconstr Surg. 2002;  109 1460-1461
• 14 Hallock G G. Defatting of flaps by means of suction-assisted lipectomy.  Plast Reconstr Surg. 1985;  76 948-952
• 15 Hamdi M, Weiler-Mithoff E M, Webster M H. Deep inferior epigastric perforator flap in breast reconstruction: experience with the first 50 flaps.  Plast Reconstr Surg. 1999;  103 86-95
• 16 Higgins J P, Orlando G S, Blondeel P N. Ischial pressure sore reconstruction using an inferior gluteal artery perforator (IGAP) flap.  Br J Plast Surg. 2002;  55 83-85
• 17 Holmström H, Lossing C. Lateral thoracodorsal flap: an intercostal perforator flap for breast reconstruction.  Semin Plast Surg. 2002;  16 53-59
• 18 Jacobson J H, Miller D B, Suarez E. Microvascular surgery: A new horizon in coronary artery surgery.  Circulation. 1960;  22 767
• 19 Jeng S F, Wei F C. The distally based forearm island flap in hand reconstruction.  Plast Reconstr Surg. 1998;  102 400-406
• 20 Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle.  Br J Plast Surg. 1989;  42 645-648
• 21 Koshima I, Soeda S. Free posterior tibial perforator-based flaps.  Ann Plast Surg. 1991;  26 284-288
• 22 Koshima I, Urushibara K, Inagawa K, Hamasaki T, Moriguchi T. Free medial plantar perforator flaps for resurfacing of finger and foot defects.  Plast Reconstr Surg. 2001;  107 1753-1758
• 23 Koshima I, Nanba Y, Takahashi Y, Tsukino A, Kishimoto K. Future of supramicrosurgery as it relates to breast reconstruction: free paraumbilical perforator adiposal flap.  Semin Plast Surg. 2002;  16 93-99
• 24 McGregor I A, Jackson I T. The groin flap.  Br J Plast Surg. 1972;  25 3-16
• 25 Milton S H. Pedicled skin flaps: the fallacy of the length: width ratio.  Br J Surg. 1970;  57 502-508
• 26 Milton S H. Experimental studies on island flaps.  Plast Reconstr Surg. 1971;  48 574-578
• 27 Safak T, Akyuerek M. Free transfer of the radial forearm flap with preservation of the radial artery.  Ann Plast Surg. 2000;  45 97-99
• 28 Wei F C, Jain V, Suominen S, Chen H C. Confusion among perforator flaps: What is a true perforator flap?.  Plast Reconstr Surg. 2001;  107 874-876
• 29 Wei F C, Jain V, Celic N, Chen H, Chuang D CC, Lin C H. Have we found an ideal soft tissue flap? An experience with 672 anterolateral thigh flaps.  Plast Reconstr Surg. 2002;  109 2219-2230
• 30 Yang K C, Leung J K, Chen J S. Double-paddle peroneal tissue transfer for oromandibular reconstruction.  Plast Reconstr Surg. 2000;  106 47-55