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1. Full Text The Concepts of Propeller, Perforator, Keystone, and Other Local Flaps and Their Role in the Evolution of Reconstruction
by Mohan, Anita T and Sur, Yoo Joon and Zhu, Lin and Morsy, Mohamed and Wu, Peter S and Moran, Steven L and Mardini, Samir and Saint-Cyr, Michel
Plastic and Reconstructive Surgery, ISSN 0032-1052, 10/2016, Volume 138, Issue 4, pp. 710e - 729e
LEARNING OBJECTIVES:After studying this article, the participant should be able to1. Understand the history and physiology of perforator flaps. 2. Understand... 
SURGERY | DESCENDING GENICULAR ARTERY | LOWER-EXTREMITY RECONSTRUCTION | INFERIOR EPIGASTRIC PERFORATOR | VAGINAL WALL RECONSTRUCTION | ANTEROLATERAL THIGH FLAP | LATISSIMUS-DORSI FLAP | SOFT-TISSUE RECONSTRUCTION | ISLAND FLAP | LOTUS PETAL FLAPS | DIEP FLAP | Humans | Reconstructive Surgical Procedures - methods | Perforator Flap - physiology | Free Tissue Flaps - blood supply | Perforator Flap - transplantation | Free Tissue Flaps - transplantation | Free Tissue Flaps - physiology | Perforator Flap - blood supply
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2. Full Text The Evolution of Perforator Flap Breast Reconstruction: Twenty Years after the First DIEP Flap
by Healy, Claragh and Allen, Robert J
Journal of Reconstructive Microsurgery, ISSN 0743-684X, 02/2014, Volume 30, Issue 2, pp. 121 - 126
Abstract It is over 20 years since the inaugural deep inferior epigastric perforator (DIEP) flap breast reconstruction. We review the type of flap utilized and... 
Original Article | microsurgery | flap | breast reconstruction | SURGERY | CONTRALATERAL PROPHYLACTIC MASTECTOMY | SIEA | History, 21st Century | History, 20th Century | Humans | Mastectomy - methods | Reconstructive Surgical Procedures - methods | Treatment Outcome | Free Tissue Flaps - blood supply | Epigastric Arteries - physiopathology | Perforator Flap - blood supply | Reconstructive Surgical Procedures - trends | Fascia - blood supply | Perforator Flap - trends | Buttocks - blood supply | Time Factors | Rectus Abdominis - transplantation | Mammaplasty - methods | Mammaplasty - trends | Fascia - transplantation | Female | Free Tissue Flaps - trends | Rectus Abdominis - blood supply | Mastectomy - trends
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3. Full Text Muscle versus Fasciocutaneous Free Flaps in Lower Extremity Traumatic Reconstruction: A Multicenter Outcomes Analysis
by Cho, Eugenia H and Shammas, Ronnie L and Carney, Martin J and Weissler, Jason M and Bauder, Andrew R and Glener, Adam D and Kovach, Stephen J and Hollenbeck, Scott T and Levin, L Scott
Plastic and Reconstructive Surgery, ISSN 0032-1052, 01/2018, Volume 141, Issue 1, pp. 191 - 199
BACKGROUND:Clinical indications are expanding for the use of fasciocutaneous free flaps in lower extremity traumatic reconstruction. The authors assessed the... 
SURGERY | DEFECTS | MANAGEMENT | VASCULAR ANATOMY | LIMB SALVAGE | ANTEROLATERAL THIGH FLAP | SOFT-TISSUE-RECONSTRUCTION | PERFORATOR FLAPS | SELECTION | CHRONIC OSTEOMYELITIS | OPEN TIBIAL FRACTURES | Myocutaneous Flap - transplantation | Multivariate Analysis | Follow-Up Studies | Humans | Middle Aged | Male | Free Tissue Flaps - blood supply | Free Tissue Flaps - transplantation | Soft Tissue Injuries - surgery | Injury Severity Score | Young Adult | Adult | Female | Retrospective Studies | Leg Injuries - diagnosis | Fractures, Open - surgery | Acute Disease | Limb Salvage - methods | Risk Assessment | Reconstructive Surgical Procedures - methods | Graft Survival | Treatment Outcome | Skin Transplantation - methods | Soft Tissue Injuries - diagnosis | Myocutaneous Flap - blood supply | Analysis of Variance | Leg Injuries - surgery | Wound Healing - physiology | Chronic Disease | Cohort Studies
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4. Full Text Lower Extremity Free Flaps for Breast Reconstruction
by Dayan, Joseph H and Allen, Robert J
Plastic and Reconstructive Surgery, ISSN 0032-1052, 11/2017, Volume 140, Issue 5S Advances in Breast Reconstruction, pp. 77S - 86S
Thigh-based flaps are typically a secondary option for breast reconstruction because of concerns regarding limited tissue volume and donor-site morbidity. In... 
SURGERY | DESIGN | THIGH FLAP | OPTION | ARTERY | MUSCULOCUTANEOUS GRACILIS FLAP | MYOCUTANEOUS FREE-FLAP | DONOR-SITE MORBIDITY | PERFORATOR FLAP | CLINICAL-APPLICATION | Breast Neoplasms - surgery | Myocutaneous Flap | Perforator Flap | Humans | Thigh - surgery | Mammaplasty - methods | Female | Free Tissue Flaps - blood supply
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5. Full Text Vascular anatomy of the anterolateral thigh flap: A systematic review
by Lakhiani, Chrisovalantis and Lee, Michael R and Saint-Cyr, Michel
Plastic and Reconstructive Surgery, ISSN 0032-1052, 12/2012, Volume 130, Issue 6, pp. 1254 - 1268
Background: The most untoward aspect of the anterolateral thigh is the complexity of the local vasculature. Failure to understand its variability can lead to... 
SURGERY | NECK DEFECTS | HEAD | COMPUTED TOMOGRAPHIC ANGIOGRAPHY | SOFT-TISSUE RECONSTRUCTION | CIRCUMFLEX FEMORAL-ARTERY | CANCER ABLATION | DOPPLER | PERFORATOR FLAP | DONOR SITE | CLINICAL-EXPERIENCE | Femoral Artery - anatomy & histology | Free Tissue Flaps - blood supply | Humans | Perforator Flap - blood supply | Thigh - blood supply
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6. Full Text Free tissue transfer in the hypercoagulable patient: A review of 58 flaps
by Wang, Theresa Y and Serletti, Joseph M and Cuker, Adam and McGrath, Jennifer and Low, David W and Kovach, Stephen J and Wu, Liza C
Plastic and Reconstructive Surgery, ISSN 0032-1052, 02/2012, Volume 129, Issue 2, pp. 443 - 453
Background: Hypercoagulability or thrombophilia is a group of inherited or acquired conditions associated with a predisposition to thrombosis. Most... 
SURGERY | LATE BREAST RECONSTRUCTION | FACTOR-V-LEIDEN | FREE TRAM FLAP | RISK-FACTOR | COAGULATION-FACTOR-VIII | MUTATION | VENOUS THROMBOSIS | RESISTANCE | EXPERIENCE | FAILURE | Thrombophilia | Humans | Middle Aged | Aged, 80 and over | Adult | Female | Male | Aged | Retrospective Studies | Free Tissue Flaps - blood supply
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7. Full Text Free Latissimus Dorsi Muscle–Chimeric Thoracodorsal Artery Perforator Flaps for Reconstruction of Complicated Defects: Does Muscle Still Have a Place in the Domain of Perforator Flaps?
by Lee, Kyeong-Tae and Wiraatmadja, Elrica Sapphira and Mun, Goo-Hyun
Annals of Plastic Surgery, ISSN 0148-7043, 05/2015, Volume 74, Issue 5, pp. 565 - 572
PURPOSEThe reconstruction of complicated defects with 3-dimensional deficits remains challenging. The reconstruction of these defects requires not only... 
complicated defect | thoracodorsal artery perforator flap | chimeric flap | SURGERY | SITE | LOWER-EXTREMITY | COVERAGE | CHRONIC OSTEOMYELITIS | OPEN TIBIAL FRACTURES | FASCIOCUTANEOUS TISSUE | HAND | Follow-Up Studies | Outcome Assessment (Health Care) | Humans | Middle Aged | Reconstructive Surgical Procedures - methods | Male | Free Tissue Flaps - blood supply | Perforator Flap - transplantation | Free Tissue Flaps - transplantation | Perforator Flap - blood supply | Superficial Back Muscles - blood supply | Young Adult | Thoracic Arteries - transplantation | Adolescent | Superficial Back Muscles - transplantation | Adult | Female | Aged | Retrospective Studies | Child | Postoperative Complications
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8. Full Text Free-Style Local Perforator Flaps: Versatility of the V-Y Design to Reconstruct Soft-Tissue Defects in the Skin Cancer Population
by Chaput, Benoit and Garrido, Ignacio and Pluvy, Isabelle and Grolleau, Jean Louis and Mojallal, Ali
Plastic and Reconstructive Surgery, ISSN 0032-1052, 03/2014, Volume 133, Issue 3, pp. 432e - 434e
SURGERY | PACMAN FLAP | Humans | Reconstructive Surgical Procedures - methods | Female | Male | Wound Healing - physiology | Free Tissue Flaps - blood supply | Skin Neoplasms - surgery | Perforator Flap - blood supply
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9. Full Text Micro-RNA–Regulated Proangiogenic Signaling in Arteriovenous Loops in Patients with Combined Vascular and Soft-Tissue Reconstructions: Revisiting the Nutrient Flap Concept
by Henn, Dominic and Abu-Halima, Masood and Falkner, Florian and Wermke, Dominik and Meme, Lilian G and Kühner, Clemens and Keller, Andreas and Kneser, Ulrich and Meese, Eckart and Schmidt, Volker J
Plastic and Reconstructive Surgery, ISSN 0032-1052, 10/2018, Volume 142, Issue 4, pp. 489e - 502e
BACKGROUND:The placement of arteriovenous loops can enable microvascular anastomoses of free flaps when recipient vessels are scarce. In animal models,... 
SURGERY | ANGIOGENESIS | IN-VIVO | TRANSCRIPTION FACTOR ETS-1 | PROLIFERATION | GROWTH-FACTOR | AXIAL VASCULARIZATION | ANGIOPOIETIN-2 | HYPOXIA | ENRICHMENT ANALYSIS | EXPRESSION | Humans | Reconstructive Surgical Procedures - methods | Veins - transplantation | MicroRNAs - metabolism | Gene Expression Profiling | Free Tissue Flaps - blood supply | Soft Tissue Injuries - surgery | Intercellular Signaling Peptides and Proteins - metabolism | Soft Tissue Injuries - metabolism | Microarray Analysis | Veins - metabolism | Microsurgery | Lower Extremity - surgery | Real-Time Polymerase Chain Reaction | Arteriovenous Shunt, Surgical - methods | Soft tissue injuries | Care and treatment | MicroRNA | Research | Genetic regulation
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10. Full Text The clinical result of arterialized venous free flaps for the treatment of soft tissue defect of the fingers
by Lee, M and Lee, YK and Kim, DH
MEDICINE, ISSN 0025-7974, 06/2019, Volume 98, Issue 23, p. e16017
The purpose of this study is to report the clinical results of the arterialized venous free flaps in reconstructing soft tissue defects of the finger and to... 
finger | MEDICINE, GENERAL & INTERNAL | SERIES | SKIN DEFECTS | RECONSTRUCTION | soft tissue injury | ARTERY PERFORATOR FLAP | DIGITAL DEFECTS | arterialized venous free flap | HAND | Finger Injuries - surgery | Humans | Middle Aged | Reconstructive Surgical Procedures - methods | Male | Treatment Outcome | Free Tissue Flaps - blood supply | Skin Transplantation - methods | Soft Tissue Injuries - surgery | Young Adult | Adult | Female | Retrospective Studies | Medicine, Experimental | Medical research | Soft tissue injuries | Care and treatment | Usage | Flaps (Surgery)
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11. Full Text Regional Oxygen Saturation Index: A Novel Criterion for Free Flap Assessment Using Tissue Oximetry
by Akita, Shinsuke and Mitsukawa, Nobuyuki and Tokumoto, Hideki and Kubota, Yoshitaka and Kuriyama, Motone and Sasahara, Yoshitaro and Yamaji, Yoshihisa and Satoh, Kaneshige
Plastic and Reconstructive Surgery, ISSN 0032-1052, 09/2016, Volume 138, Issue 3, pp. 510e - 518e
BACKGROUND:Tissue oximetry is a useful tool for postoperative free flap monitoring. Reported criterion values have been accurate; however, there are various... 
SALVAGE | SURGERY | COST-ANALYSIS | NEAR-INFRARED SPECTROSCOPY | INDOCYANINE GREEN FLUORESCENCE | BLOOD-GLUCOSE MEASUREMENT | VENOUS THROMBOSIS | PERFORATOR FLAPS | EXPERIENCE | BREAST RECONSTRUCTION | VASCULAR COMPROMISE | Free Tissue Flaps - surgery | Angiography | Humans | Indocyanine Green | Oximetry - methods | Free Tissue Flaps - blood supply | Regional Blood Flow - physiology | Blood Flow Velocity - physiology | Perforator Flap - blood supply | Perforator Flap - surgery
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12. Full Text The Evolution of Free Vascularized Bone Transfer: A 40-Year Experience
by Taylor, G Ian and Corlett, Russell J and Ashton, Mark W
Plastic and Reconstructive Surgery, ISSN 0032-1052, 04/2016, Volume 137, Issue 4, pp. 1292 - 1305
BACKGROUND:The first successful free vascularized bone flap was performed on June 1, 1974 (and reported in 1975), using the fibula. This was followed by the... 
EPIPHYSEAL | SURGERY | FIBULA FLAP | SUPERIORITY | REPAIR | GRAFTS | RECONSTRUCTION | WORK | ARTERY | FREE GROIN FLAPS | CIRCUMFLEX ILIAC VESSELS | Ribs - blood supply | Follow-Up Studies | Outcome Assessment (Health Care) | Humans | Fibula - transplantation | Reconstructive Surgical Procedures - methods | Child, Preschool | Male | Free Tissue Flaps - blood supply | Ilium - blood supply | Free Tissue Flaps - transplantation | Ribs - transplantation | Fibula - blood supply | Radius - transplantation | Metatarsus - blood supply | Young Adult | Ilium - transplantation | Adolescent | Adult | Female | Bone Transplantation - methods | Child | Radius - blood supply
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13. Full Text Noncontact diffuse optical assessment of blood flow changes in head and neck free tissue transfer flaps
by Huang, Chong and Radabaugh, Jeffrey P and Aouad, Rony K and Lin, Yu and Gal, Thomas J and Patel, Amit B and Valentino, Joseph and Shang, Yu and Yu, Guoqiang
Journal of Biomedical Optics, ISSN 1083-3668, 7/2015, Volume 20, Issue 7, pp. 075008 - 075008
Knowledge of tissue blood flow (BF) changes after free tissue transfer may enable surgeons to predict the failure of flap thrombosis at an early stage. This... 
free tissue flap | noncontact measurement | diffuse correlation spectroscopy | blood flow | LASER-DOPPLER FLOWMETRY | CIRCULATION | OXYGENATION | FOREARM | REPERFUSION INJURY | BIOCHEMICAL RESEARCH METHODS | MUSCLE | OXIMETER | PERFUSION | OPTICS | RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING | SCATTERING | CORRELATION SPECTROSCOPY | Neck - blood supply | Humans | Middle Aged | Male | Free Tissue Flaps - blood supply | Spectroscopy, Near-Infrared - methods | Equipment Design | Free Tissue Flaps - surgery | Head - blood supply | Neck - surgery | Female | Aged | Regional Blood Flow - physiology | Head and Neck Neoplasms - surgery | Head - surgery | Flaps | Monitors | Assessments | Diffusion | Recovery | Necks | Failure | Blood flow | Research Papers | General | Paper
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14. Full Text Long‐term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema
by Nguyen, Alexander T and Suami, Hiroo and Hanasono, Matthew M and Womack, Veda A and Wong, Franklin C and Chang, Edward I
Journal of Surgical Oncology, ISSN 0022-4790, 01/2017, Volume 115, Issue 1, pp. 84 - 89
Background The free vascularized omental lymphatic flap provides an option without the risk for iatrogenic donor site lymphedema that plagues alternative lymph... 
VLNT | lymphovenous anastomosis | vascularized lymph node transfer | lymphedema | LVA | LVB | lymphatic surgery | lymphovenous bypass | IMMEDIATE BREAST RECONSTRUCTION | SURGERY | SITE | GREATER OMENTUM | TRANSPOSITION | LOWER-EXTREMITY LYMPHEDEMA | TRANSPLANTATION | ONCOLOGY | CANCER-RELATED LYMPHEDEMA | COMPLICATIONS | NODE TRANSFER | PLASTIC-SURGERY | Omentum - transplantation | Humans | Middle Aged | Male | Treatment Outcome | Free Tissue Flaps - blood supply | Lymph Nodes - transplantation | Free Tissue Flaps - transplantation | Young Adult | Lymph Nodes - blood supply | Adolescent | Adult | Female | Aged | Omentum - blood supply | Lymphedema - surgery | Minimally Invasive Surgical Procedures | Lymphedema | Care and treatment | Pancreatitis
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15. Full Text Free-Style Local Perforator Flaps: Versatility of the V-Y Design to Reconstruct Soft-Tissue Defects in the Skin Cancer Population
by Brunetti, Beniamino and Tenna, Stefania and Aveta, Achille and Segreto, Francesco and Persichetti, Paolo
Plastic and Reconstructive Surgery, ISSN 0032-1052, 08/2013, Volume 132, Issue 2, pp. 451 - 460
BACKGROUND:Free-style local perforator flaps can be harvested from any region of the body where an appropriate and detectable perforator vessel is present.... 
SURGERY | CLASSIFICATION | ADVANCEMENT FLAPS | LOWER-LIMB-DEFECTS | VASCULAR ANATOMY | CLINICAL-APPLICATIONS | Follow-Up Studies | Humans | Middle Aged | Thoracic Wall - surgery | Male | Free Tissue Flaps - blood supply | Soft Tissue Injuries - surgery | Perforator Flap - blood supply | Time Factors | Aged, 80 and over | Adult | Female | Elective Surgical Procedures - methods | Retrospective Studies | Lower Extremity - surgery | Skin Neoplasms - surgery | Tissue and Organ Harvesting - methods | Skin Neoplasms - pathology | Risk Assessment | Upper Extremity - surgery | Reconstructive Surgical Procedures - methods | Graft Survival | Transplant Donor Site - surgery | Reconstructive Surgical Procedures - adverse effects | Anastomosis, Surgical | Graft Rejection | Aged | Wound Healing - physiology | Cohort Studies
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16. Full Text The Lumbar Artery Perforator Flap in Autologous Breast Reconstruction: Initial Experience with 100 Cases
by Opsomer, Dries and Stillaert, Filip and Blondeel, Phillip and Van Landuyt, Koenraad
Plastic and Reconstructive Surgery, ISSN 0032-1052, 07/2018, Volume 142, Issue 1, pp. 1e - 8e
BACKGROUND:The lumbar artery perforator flap is an alternative flap in breast reconstruction for those patients who are not eligible for a deep inferior... 
SURGERY | LUMBOSACRAL DEFECTS | MUSCULOCUTANEOUS FLAP | Follow-Up Studies | Outcome Assessment (Health Care) | Humans | Middle Aged | Free Tissue Flaps - blood supply | Perforator Flap - transplantation | Free Tissue Flaps - transplantation | Arteries | Perforator Flap - blood supply | Mammaplasty - methods | Lumbosacral Region - blood supply | Mastectomy | Adult | Female | Aged | Retrospective Studies
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17. Full Text Asymptomatic Deep Vein Thrombosis during Free Flap: Concerns in Free Flap Surgery
by Jung, Jae-A and Park, Bo Young and Kang, So Ra and Kim, Min Ji
Plastic and Reconstructive Surgery, ISSN 0032-1052, 10/2018, Volume 142, Issue 4, pp. 551e - 560e
BACKGROUND:Venous insufficiency is the most frequent cause of failure in free flap reconstruction of the lower extremity. When deep vein thrombosis is detected... 
FREE TISSUE TRANSFER | SURGERY | LOWER-EXTREMITY | DISTAL | RECONSTRUCTION | ALGORITHM | VENOUS THROMBOSIS | PREVENTION | PERONEAL VEIN | PATIENT | STRATEGIES | Humans | Venous Insufficiency - complications | Reconstructive Surgical Procedures - methods | Leg Injuries - surgery | Retrospective Studies | Free Tissue Flaps - blood supply | Lower Extremity - surgery | Venous Thrombosis - complications | Treatment outcome | Care and treatment | Usage | Venous thrombosis | Flaps (Surgery) | Analysis
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