PRS Journal Club Multiple Perforator Propeller Flaps” with Harvey Chim, MD - Dec. 2024 Journal Club
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Dec 18, 2024 Discover innovative techniques in reconstructive surgery with a focus on multiple perforator propeller flaps. Hear about a unique 'jigsaw puzzle' approach for extensive defect reconstruction that emphasizes the advantages of these flaps. The discussion highlights significant advancements, including the use of ultrasound in preoperative planning and considerations for smokers. Experts share insights from patient case reviews, showcasing successful outcomes and technical tips to improve surgical practices and aesthetic results.
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Posterior Trunk Reconstruction
- The posterior trunk is a challenging area to reconstruct due to the lack of recipient vessels for free flaps.
- Propeller perforator flaps offer a solution by utilizing local tissue, allowing primary donor site closure.
Flap Selection Strategy
- Consider perforator propeller or keystone flaps for trunk and smaller extremity defects.
- For extremities, free flaps may be more reliable, especially for smokers, due to lower flap necrosis risk.
Reconstructing Smokers
- Smokers have a higher risk of partial flap necrosis, contrary to the study's findings.
- Optimize reconstructive algorithms for smokers to minimize complications.