J Reconstr Microsurg 1997; 13(2): 111-115
DOI: 10.1055/s-2007-1000226
ORIGINAL ARTICLE

© 1997 by Thieme Medical Publishers, Inc.

An Alternative Free‐Flap Technique and 12‐Year Follow‐Up

Ashok Govila
  • Department of Plastic Surgery, Mafraq Hospital, Abu Dhabi, United Arab Emirates
Further Information

Publication History

Accepted for publication 1996

Publication Date:
08 March 2008 (online)

ABSTRACT

Conventional free-tissue transfer without complication requires a microsurgical facility that includes a team of trained and experienced microvascular surgeons, expensive equipment, and other associated paraphernalia. To obviate the need for an operating microscope, or even magnifying loupes, an alternative technique for free-tissue transfer has been developed by the author and utilized over the past 12 years. The method involves the use of modified fasciocutaneous flaps with long vascular pedicles. No extra training, microvascular expertise, equipment, or expense are involved, and a general plastic surgeon can utilize the technique. The procedure has had particular use in underprivileged, third-world, plastic surgery units. Advantages and disadvantages of the procedure are discussed.