The simple or complex substance loss, deep or superficial, as a result of various etiological conditions (acute or sequel traumas, congenital malformations, post surgical defects) are still arousing the interest of the surgeons in finding the best fitted method for reconstruction.
|OBJECTIVES||• to describe and to implement some animal experimental models which can allow to discover more and more perforator vessels;
• to delimitate the vascular territories of the perforator vessels;
• to discover new perforator flaps , new pre-, intra- and post operative radiological, biochemical investigations which can assure a better survival of those flaps;
• to elaborate some territorial maps of the main perforator vessels.
|DESCRIPTION|| The simple or complex substance loss, deep or superficial, as a result of various etiological conditions (acute or sequel traumas, congenital malformations, post surgical defects) are still arousing the interest of the surgeons in finding the best fitted method for reconstruction. Those methods suppose to transfer structural and functional similar tissues. The main needs of such a method are low or absent donor site morbidity, and to realize the reconstruction by replacing like with like.
The development of the knowledge about the vascularisation of various tissular structures has encouraged the discovery of new flaps, the last described one being the perforator flaps; because the vascularisation of those flaps is assured by musculocutaneous or fasciocutaneous perforator vessels, flaps’ harvesting generate a lower donor site morbidity ( do not sacrify the main arteries, or some muscles, a.s.o.)
Until nowadays, it was described and used an important number of perforator flaps, transferred by microsurgical techniques, but only a small number of local perforator flaps was used in clinical practice; or it is well known that a like with like reconstruction, the use of local resources is the first choice. Our experience acquired by performing more than 100 local or regional microsurgicaly non-microvascular pedicled perforator flaps, microsurgical harvested but without microsurgical anastomosis, with good results and minimal morbidity, has determined us to find new perforator vessels all over the body, able to assure the better surviving of those flaps.