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In such cases, additional semilunar incision is useful in improving the flap mobility.
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The preoperative analysis of perforator arteries enables the precise identification of their caliber and course, and so to select the optimal one(s), in order to improve the flap's design therefore reducing operating time.
The modified technique can decrease the horizontal dimension and increase perfusion of the skin island, thus improving the reliability of the flap.
This bilobed flap design could improve the arc of flap rotation and the mobility of the flap so it could cover wide and deep defects.
Studies have highlighted that advanced imaging modalities and other technologies such as image-guided stereolithographic biomodeling can substantially improve flap planning, flap harvest, and operative outcomes.
We present a modified technique of a sloped skin island design to improve the reliability of the flap when used to reconstruct a longitudinal distal pretibial defect or transverse heel and ankle defect.
Buccal vertical releasing incisions were made to facilitate the surgical access and improve the mobility of the flap.
They found in their study that the lesser saphenous vein in the flap not only improves the venous outflow and the circulation of the flap, but it also allows cranial extension of the flap over the proximal third of the calf.
Wing deformation can improve the performance of flapping wing MAV.
Medicinal leech, Hirudo medicinalis, has been used in plastic and reconstructive surgery, to relieve venous congestion and to improve the microrevascularization of flaps.
Today, leech therapy is indicated in plastic and reconstructive surgery, to relieve venous congestion and to improve the microrevascularization of flaps (Fig 1, 2, 3, 4) or replants with an increase in success rate by 60% 83%.
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