A review of flaps and their uses in reconstructive surgery

The field of reconstructive surgery is rapidly advancing with advances in the techniques of anatomical dissection, understanding of the neurovascular physiology, and improvements in surgical instrumentation. Flaps are composite units of tissue which have their own blood supply or an intact arteriove...

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Bibliographic Details
Published inJournal of the Anatomical Society of India Vol. 69; no. 2; pp. 103 - 109
Main Authors Sivakumar, M, Mohapatra, Devi
Format Journal Article
LanguageEnglish
Published Wolters Kluwer India Pvt. Ltd 01.04.2020
Medknow Publications and Media Pvt. Ltd
Subjects
Physiological aspects
Skin
Surgery, Plastic
Flaps
perforators
microsurgery
wound management
reconstructive surgery
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Summary:The field of reconstructive surgery is rapidly advancing with advances in the techniques of anatomical dissection, understanding of the neurovascular physiology, and improvements in surgical instrumentation. Flaps are composite units of tissue which have their own blood supply or an intact arteriovenous system to receive vascular inflow when transferred to a site of defect. Due to a wide array of flaps being used in reconstructive surgery, numerous terminologies can be found in use by reconstructive surgeons. Skin flaps are flaps that are composed of skin and subcutaneous tissues. Composite flaps are those which contain more than one component within the flap substance, and perforator flaps are those based on a cutaneous perforator. The angiosome concept has aided in understanding the vascular basis of flaps and increases their utility. Further research and insights are needed at the moment to have a finer understanding of the tissue neurovascular anatomy and flap behavior.
ISSN:0003-2778
2352-3050
DOI:10.4103/JASI.JASI_65_20