Perforator flap: a useful tool in reconstructive surgery − our experience

Abstract

Context: Perforator flaps is now a very versatile tool for the reconstruction of challenging tissue defects. The beauty of the tool lies in the minimization of morbidity in comparison to conventional pedicled flaps surgery. Also the inherent property of ease of rotation through 180° gives it excellent versatility in repair of defects that would have been difficult with conventional pedicled flaps. Aims: This article discusses our experience and encourages more plastic surgeons to develop the skill and use it in solving complex reconstructive challenges. Methods and Material: This a case series involving 16 cases of complex wounds (chronic and acute) that presented at our unit. Results: A total of 16 cases were selected for surgical treatment. It involved 12 males and four females. The average age of the patients was 42.4 years. The most common site of reconstruction was in the lower limb with the left being more frequent. Posterior tibia artery was the most common axial vessel that the perforators were based. The most common complication in our series was superficial epidermolysis. There was no flap loss. Conclusions: Perforator flaps are indispensable tools in managing complex defects. This is the next available option to free flap transfer as long a perforator vessel can be identified in a skin tissue just large enough to cover a defect. Due to poor development of free flap surgery, we are encouraging surgeons − old and new − to pick up the skill. We have opened opportunities for training in our institution.