WORLD JOURNAL OF PLASTIC SURGERY
Fri, Jan 3, 2025
[Archive]
Volume 13, Issue 2 (2024)
WJPS 2024, 13(2): 74-76 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Khajuria A, Koshima I, Fink B, Zou Y, Liyanage D, Ruccia F et al . Artesian Perforator Concept. WJPS 2024; 13 (2) :74-76
URL: http://wjps.ir/article-1-1263-en.html
URL: http://wjps.ir/article-1-1263-en.html
Ankur Khajuria * 
1, Isao Koshima2 , Benjamin Fink3 , Yutong Zou3 , Dinithi Liyanage3 , Francesca Ruccia3 , Ruben Y. Kannan3
1, Isao Koshima2 , Benjamin Fink3 , Yutong Zou3 , Dinithi Liyanage3 , Francesca Ruccia3 , Ruben Y. Kannan3
1- Kellogg College, University of Oxford, Oxford, UK , ankur.khajuria09@imperial.ac.uk
2- International Centre of Lymphoedema (ICL), Hiroshima University, Japan
3- Department of Plastic Surgery, Queen Victoria Hospital, East Grinstead, UK
2- International Centre of Lymphoedema (ICL), Hiroshima University, Japan
3- Department of Plastic Surgery, Queen Victoria Hospital, East Grinstead, UK
Abstract: (1564 Views)
In this article, we describe the ‘Artesian perforator concept’, based on the idea that in clinical practice, there are multiple plexuses between perforasomes in addition to the supra-fascial direct and indirect linking vessels that are present within deeper soft tissue, which form part of a deeper vascular reservoir, the equivalent of a vascular ‘aquifer’. We then demonstrate the use of this concept clinically for a 45-year-old male patient with median sternotomy wound dehiscence who was reconstructed using the Internal Mammary Artery Perforator and Lateral Thoracic Artery Perforator flaps.
Keywords: Artesian perforator concept, Perforasomes, Vascular reservoir, Soft tissue reconstruction, Internal Mammary Artery Perforator flap, Lateral thoracic artery
References
1. Saint-Cyr M, Wong C, Schaverien M, Mojallal A, Rohrich RJ. The perforasome theory: vascular anatomy and clinical implications. Plast Reconstr Surg 2009 Nov; 124(5): 1529-44. [DOI:10.1097/PRS.0b013e3181b98a6c]
2. Kannan RY. The internal mammary artery perforator flap and its subtypes in the reconstruction of median sternotomy wounds. J Thorac Cardiovasc Surg 2016 Jul; 152(1): 264-68. [DOI:10.1016/j.jtcvs.2016.01.053]
3. Yu P, Roblin P, Chevray P. Internal mammary artery perforator flap (IMAP) for tracheostoma reconstruction. Head & Neck 2006; 28(8): 723-9. [DOI:10.1002/hed.20386]
4. Lecours C, Saint-Cyr M, Wong C, Bernier C, Mailhot E, Tardif M, Chollet A. Freestyle pedicle perforator flaps: clinical results and vascular anatomy. Plast Reconstr Surg 2010 Nov; 126(5): 1589-603. [DOI:10.1097/PRS.0b013e3181f02ee3]
5. Wong C, Saint-Cyr M, Rasko Y, Mojallal A, Bailey S, Myers S, Rohrich RJ. Three- and four-dimensional arterial and venous perforasomes of the internal mammary artery perforator flap. Plast Reconstr Surg 2009 Dec; 124(6): 1759-69. [DOI:10.1097/PRS.0b013e3181bf815f]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
