Free Microdissected Thin Groin Flap Design with an Extended Vascular Pedicle; Thin Anterolateral Thigh Perforator Flap Using a Modified Microdissection Technique

摘要

We read with great interest two articles recently published in Plastic and Reconstructive Surgery, namely "Free Microdissected Thin Groin Flap Design with an Extended Vascular Pedicle" and "Thin Anterolateral Thigh Perforator Flap Using a Modified Microdissection Technique and Its Clinical Application for Foot Resurfacing." If microsurgical reconstruction is to be advanced, then it is essential to further refine flap reconstruction procedures in three main ways: to improve the quality of the outcome (both aesthetically and functionally) at the recipient site, to reduce overall morbidity, and, finally, to simplify procedures to reduce operative time and broaden applicability. These factors are clearly interdependent in many ways, and the two articles beautifully demonstrate elegant technical modifications to permit uniform, radical, primary thinning of skin flaps with low donor-site morbidity. Kimura and Saitoh should be particularly commended in this regard for their refinement of the groin flap. In sodoing, they minimized secondary revisionary procedures, and by enhancing outcomes, they broadened the flap's indications to encroach into the traditional territory of the skin graft as the first choice for reconstruction