Thigh Perforator Exchange: Intraflap Perforator Augmentation of Anterolateral Thigh Free Flaps

Document Type

Article

Publication Date

8-16-2024

Publication Title

Plastic and Reconstructive Surgery - Global Open

Abstract

Peripheral perfusion in large anterolateral thigh flaps may be inadequate if perforator zones are not properly planned during flap design and harvest, and variations in vascular anatomy can contribute to operative difficulty and morbidity. Intraflap anastomosis of extrinsic perforators may allow for augmentation of perfusion while avoiding significant intramuscular dissection. Adaptation of the perforator exchange technique, previously described in autologous breast reconstruction, optimizes vascular flow in anterolateral thigh flaps. Here, we present a technique for intraflap perforator anastomosis (the thigh perforator exchange) and illustrate its use in a subset of patients. This technique is relatively simple and rapid to perform with no vascular complications observed in our series.

First Page

e6072

PubMed ID

39157705

Volume

12

Issue

8

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