Pre-expanded Perforator Flaps
Lee L.Q. Pu, MD, PhD, FACS, Editor Chunmei Wang, MD, PhD, Editor Perforator flap surgery has indeed revolutionized reconstructive plastic surgery. With accurate knowledge of the perforator anatomy, plastic surgeons…
Development and Historical Evolution Half a Century Ago at the Dawn of Microsurgery
The Department of Orthopedics and Replantation Research Laboratory of the Sixth People’s Hospital of Shanghai was at the forefront of technical innovation and development of limb and digital replantation and…
New Frontiers in Robotic-Assisted Microsurgical Reconstruction
Robotic surgery has revolutionized minimally invasive surgery. Owing to its unique features and key advantages, robotic surgery is being used for complex cases across surgical specialties. It has been introduced…
The Advent of Vascularized Composite Allotransplantation
Modern microsurgical techniques have made possible a broad spectrum of novel means for the reconstruction of complex bone and soft tissue defects. These techniques, in combination with developments in transplant…
Unique Techniques or Approaches in Microvascular and Microlymphatic Surgery
Several methods can be used for identifying tissues for transfer in donor-site–depleted patients. A fillet flap can be temporarily stored in other parts of the body and transferred back to…
Keystone and Pedicle Perforator Flaps in Reconstructive Surgery
Pedicle perforator flaps and keystone perforator island flaps are additional tools for reconstructive surgeons. Advances in understanding of vascular anatomy, the dynamic nature of perforator perfusion, inter-perforator flow and the…
Maximizing the Utility of the Pedicled Anterolateral Thigh Flap for Locoregional Reconstruction
The pedicled anterolateral thigh (PALT) flap is an underutilized flap for locoregional reconstruction largely because methods to maximize its reach are neither universally implemented nor fully understood. In addition, most…
Anastomosis of the Superficial Inferior Epigastric Vein to the Internal Mammary Vein to Augment Deep Inferior Artery Perforator Flaps
Use of the retrograde limb of the internal mammary vein has been described previously as a lifeboat for venous congestion but not prophylactically. Maximizing the length of the deep inferior…
Microsurgical Tissue Transfer in Breast Reconstruction
Autologous breast reconstructions have grown in popularity because of their durability, aesthetic outcomes, symmetry, increase in external beam radiotherapy use, and potential aesthetic enhancement at the donor site. Increasing patient…
Innovations and Future Directions in Head and Neck Microsurgical Reconstruction
Head and neck reconstructive microsurgery is constantly innovating because of a combination of multidisciplinary advances. This article examines recent innovations that have affected the field as well as presenting research…
