title: Development of Skin Flaps for Reconstructive Surgery: Random Pattern Flap to Perforator Flap.
abstract: Flap transplantation has been an important procedure in plastic and reconstructive surgery to cover and fill various defects. Flap necrosis due to blood circulation failure leads to severe complications, especially in a patient undergoing reconstruction concerning the body cavity after tumor ablation. Surgical procedures for flap transplantation have been further improved and developed. We have reviewed from the random pattern flap to the newest procedure, the perforator flap. Perforator vessels were investigated in the process of development of the fasciocutaneous flap and have become important for blood supply of the skin flap. Blood circulation of the flap has become more stable and reliable than ever with the development and findings of the perforator vessels. Further development of a skin flap will be based on the perforasome concept, which involves the study of the territory and linking of perforator vessels. J. Med. Invest. 63: 159-162, August, 2016.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Hashimoto
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Abe
authors.forename: Soshi
authors.initials: S
authors.lastname: Ishida
authors.forename: Keisuke
authors.initials: K
authors.lastname: Kashiwagi
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Mineda
authors.forename: Yutaro
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Yamato
authors.forename: Akihiro
authors.initials: A
authors.lastname: Toda
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Fukunaga
authors.forename: Sho
authors.initials: S
authors.lastname: Yoshimoto
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Tsuda
authors.forename: Shinji
authors.initials: S
authors.lastname: Nagasaka
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Keyama
mesh_terms: D006801:Humans; D061525:Perforator Flap / Q000098:blood supply; D010502:Perineum; D019651:Plastic Surgery Procedures / Q000379:methods*; D012867:Skin / Q000098:blood supply