Useful Flaps for Plastic Surgeons to Know | Journal CME Article-Journal CME Article: Useful Flaps for Plastic Surgeons to Know (Video 1)

Journal CME Article: Useful Flaps for Plastic Surgeons to Know (Video 1)

Video Transcription

As mentioned in the text, the perforator is found with a Doppler and an exploratory incision is made to look at the perforator. The flap is then dissected based on that Doppler.  Based on that perforator, the Doppler is checked to make sure that the signal is still intact. Once we are happy that the signal is intact, then the flap is rotated into the defect  and the Doppler is once again used to ascertain that there is still a signal. If there isn't a signal, then you need to go back and do some further dissection.  But if there is a signal, then that flap will perfuse and you can go ahead and close the case.  So here is the flap being rotated into position and now the Doppler is being checked again  to make sure that the Doppler signal is still present and that it is safe to inset the flap.

Video Summary

The process involves locating a perforator using a Doppler, followed by making an exploratory incision based on Doppler findings. The flap is dissected and checked to ensure the signal is intact. Once confirmed, the flap is rotated into the defect, and the Doppler is used again to verify the signal. If the signal is present, the flap will perfuse, allowing for closure of the case. If not, further dissection is required. The final check with the Doppler ensures it is safe to proceed with insetting the flap.

Keywords

Doppler

flap dissection

perforator

signal verification

surgical procedure