6533b828fe1ef96bd1288e6e

RESEARCH PRODUCT

Complications and Solutions in Propeller Flap Surgery

Salvatore D'arpaLucian P. JigaAdriana CordovaZaher JandaliMarco PignattiM I MuradovMarta Cajozzo

subject

medicine.medical_specialtyReconstructive surgeryPreoperative planningDissection techniquecomplicationsbusiness.industrySettore MED/19 - Chirurgia PlasticaPropellerreconstructive surgeryReview articlerisk factormedicinerisk factorsperforator flapSurgeryBody regionIntensive care medicinebusinessPerforator flapspropeller flap

description

AbstractPropeller perforator flaps (PPFs) have long been proven as valid reconstructive tools for a wide range of soft tissue defects in different body regions. During the last decade, despite their numerous advantages, many authors have thoroughly analyzed outcomes of these flaps, sometimes discouraging their use mainly because of a high failure rate. Accurate patient selection, adequate preoperative planning, and an appropriate dissection technique seem to potentially improve outcomes. Our study provides a review of the relevant literature related to PPF complications and of our experience, describing reasons for failure, measures for preventing them, and approaches for a prompt evaluation and management of complications.

https://doi.org/10.1055/s-0040-1714087