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'''Loose/Free [[Flaps]]''' are in the domain of [[microsurgery]].
'''Loose/Free [[flaps]]''' are in the domain of [[microsurgery]].
* axial flaps: cutaneous, fasciocutaneous, muscular, musculocutaneous
* axial flaps: cutaneous, fasciocutaneous, muscular, musculocutaneous
* loose flap transfer : completely separated from the donor site and sewn with a vascular pedicle to the vessels around the defect → sewn to the destination
* loose flap transfer : completely separated from the donor site and sewn with a vascular pedicle to the vessels around the defect → sewn to the destination

Revision as of 14:42, 15 January 2023

Loose/Free flaps are in the domain of microsurgery.

  • axial flaps: cutaneous, fasciocutaneous, muscular, musculocutaneous
  • loose flap transfer : completely separated from the donor site and sewn with a vascular pedicle to the vessels around the defect → sewn to the destination
  • vascular bundle of the flap: artery + 1 / 2 vein

Freely transferred skin flaps

  • Inguinal Flap – aa. et vv. circumflexae ilium superficial.
  • flap from the dorsum of the leg – aa. et vv. dors. pedis
  • scapular lobe – aa. et vv. circumflexae scapulae
  • lobe from the radial side of the forearm – aa. et vv. radiales + n. cutaneus antebrachii (preservation of sensitivity)

Freely transferred muscle and musculocutaneous flaps

  • flap of the latissimi dorsi + serratus anterior muscle – aa. et vv. thoracodorsals
  • flap of the recti abdominis muscle – aa. et vv. epigastricae inferiores prof.
  • flap of the gracilis muscle – aa. et vv. curcumflexae femoris med.
  • flap of the tensor fasciae latae muscle – aa. et vv. circumflexae femoris lat. + n. cutaneus femoris lat.

Freely transferred vascularized bone grafts

  • vascularized fibula – aa. et vv. peroneae
  • vascularized bone graft from the iliac blade – aa. et vv. circumflexae ilium prof.


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Related articles

References

  • MEŠŘÁK, Jan, et al. Introduction to plastic surgery. 1st edition. Prague: Charles University in Prague - Karolinum Publishing House, 2005. 125 pp.  ISBN 80-246-1150-3 .