title: Giant combined microdissected thin thigh perforator flap.
abstract: Despite recent advances in reconstructive surgery, extremely wide and thin flap coverage has rarely been reported. Recently, the authors developed a technique for transferring a very wide and thin flap from the thigh area using microdissection. In this procedure, both perforators of the anterolateral thigh flap and the tensor fasciae latae perforator flap were microdissected simultaneously and these two perforator flaps were elevated in combination based on the common pedicle of the vessels. In this report, the detailed technique of the procedure is described along with a discussion of the safety of this giant flap in consideration of 60 clinical experiences of microdissected thin tensor fasciae latae perforator and anterolateral thigh flaps.
authors.affiliation: Plastic and Reconstructive Surgery, Fujigaoka Hospital, Showa University School of Medicine, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa 227-8501, Japan. k-now@mc.neweb.ne.jp
authors.forename: N
authors.initials: N
authors.lastname: Kimura
authors.forename: M
authors.initials: M
authors.lastname: Saito
authors.forename: Y
authors.initials: Y
authors.lastname: Itoh
authors.forename: N
authors.initials: N
authors.lastname: Sumiya
mesh_terms: D000293:Adolescent; D000328:Adult; D002921:Cicatrix / Q000601:surgery; D003286:Contracture / Q000601:surgery; D005206:Fascia Lata / Q000601:surgery; D005260:Female; D006230:Hand Injuries / Q000601:surgery; D006801:Humans; D008297:Male; D042282:Microdissection / Q000379:methods; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009333:Neck / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013848:Thigh / Q000601:surgery; D020858:Tissue and Organ Harvesting / Q000379:methods*