Flap course Day1 Omdurman teaching hospital Upper limb & anterior trunk - revision

Flap course Day1

Omdurman teaching hospital

Upper limb & anterior trunk - revision

((Don't tell me the moon is shining; show me the glint of light on broken glass))

(Sense is the measure of the possible; it is composed of experience and prevision; it is calculation applied to life)

Thank to Mr. Osama Murtada & Mr. Ali

Axial Flap
Based upon a named artery. It is survival depends upon the artery not the width of the flap.

Random Flap
Has random unnamed vessels supplying it. Survival is directly proportional to the width of the flap.

Cormack & Lamberty classification:

They classified fasciocutaneous
flaps into three major types, differentiated by the

origin of the circulation to their “fascial plexus. ”  Type A

flap had multiple “fascial feeders ”  or perforators that did
not require specific identification, ( random
skin flap). Type B flaps contained a large, solitary septocutaneous
perforator. Type C flap relied on multiple and usually
Very small segmental septocutaneous branches, so that
elevation of these flaps almost always necessitated inclusion
of the source vessel with the flap in order to maintain their
complete integrity.

Survival length of the flap maybe increased by delaying the flap.

To delay a flap, elevate as a bipedical flap and return it to the flap’s bed. Two weeks later, elevate as a unipedical flap.