Artesian Perforator Concept.

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.2.74
Ankur Khajuria, Isao Koshima, Benjamin Fink, Yutong Zou, Dinithi Liyanage, Francesca Ruccia, Ruben Y Kannan
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Abstract

In this article, we describe the 'Artesian Perforator Concept', based on the idea that in clinical practice, there are multiple plexuses between perforasomes in addition to the supra-fascial direct and indirect linking vessels that are present within deeper soft tissue, which form part of a deeper vascular reservoir, the equivalent of a vascular 'aquifer'. We then demonstrate the use of this concept clinically for a 45-year-old male patient with median sternotomy wound dehiscence who was reconstructed using the Internal Mammary Artery Perforator and Lateral Thoracic Artery Perforator flaps.

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Artesian 穿孔机概念。
在这篇文章中,我们描述了 "自流孔概念",该概念基于以下观点:在临床实践中,除了存在于深层软组织中的筋膜上直接和间接连接血管外,穿孔体之间还存在多种丛状血管,它们构成了深层血管库的一部分,相当于血管 "含水层"。然后,我们在临床上演示了这一概念在一名 45 岁男性胸骨正中切开术伤口开裂患者身上的应用,该患者使用乳内动脉穿孔器和胸外侧动脉穿孔器皮瓣进行了重建。
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