Salvage of free flaps by supermicrosurgical techniques following accidental rupture of the perforator pedicle

Abstract

Perforator flaps have gained immense popularity recently, because they reduce donor site morbidity and increase cosmesis.1 Despite meticulous dissection when elevating a perforator flap, injury to the perforator may occur. We have experience of five cases of accidental rupture of the perforator pedicle during pedicle dissection, and in all cases the pedicle was repaired using supermicrosurgical techniques. This study includes all cases of perforator rupture during flap dissection in the experience of the senior surgeon (J.T.K.). Electronic charts were reviewed where available. Patient demographics, type of flap, cause of perforator rupture, solution used to mend the rupture, and postoperative complications were recorded. There were five cases of accidental perforator pedicle injury during flap dissection, all of which were repaired by supermicrosurgical techniques. Details of the patients and their flaps are given in Table 1.