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Artesian Perforator Concept
Ankur Khajuria * 1, Isao Koshima2 , Benjamin Fink3 , Yutong Zou3 , Dinithi Liyanage4 , Francesca Ruccia3
1- Kellogg College, University of Oxford, Oxford, UK
2- International Centre of Lymphoedema (ICL), Hiroshima University, Japan
3- Department of Plastic Surgery, Queen Victoria Hospital, East Grinstead, UK
4- Queen Elizabeth Hospital, Birmingham, UK
Abstract:   (127 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
Full-Text [PDF 751 kb]   (34 Downloads)    
Type of Study: case report | Subject: Special
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