On a Hunt for the "True" Septocutaneous Perforator: A Histology Cross-Section Study
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F25%3A00081668" target="_blank" >RIV/00159816:_____/25:00081668 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/25:00140606
Result on the web
<a href="https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-2435-7531" target="_blank" >https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-2435-7531</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1055/a-2435-7531" target="_blank" >10.1055/a-2435-7531</a>
Alternative languages
Result language
angličtina
Original language name
On a Hunt for the "True" Septocutaneous Perforator: A Histology Cross-Section Study
Original language description
Background Modern trends in reconstructive surgery involve the use of free perforator flaps to reduce the donor site morbidity. The course of perforator vessels has a great anatomic variability and demands detailed knowledge of the anatomical relationships and the variability of the course of the perforators. The numerous modifications to perforator nomenclature proposed by various authors resulted in confusion rather than simplification. In our study, we focused on the hypothesis that a septocutaneous perforator traverses from the given source vessel to the deep fascia adherent to but not to within the septum itself. Methods Sixty-nine septocutaneous perforators from three different limb donor sites (lateral arm flap, anterolateral thigh flap, and radial forearm free flap) were collected from the gross pathology specimens of 14 fresh cadavers. The gross picture and the cross-sections with the histological cross-sections on different levels were examined to determine the position of the vessel to the septal tissue. Results Of the observed 69 septal perforators, 61 (88.5%) perforators were adherent to but not within the septum. The remaining eight (12.5%) perforators passed through the septum. All these eight perforators were found in multiple different cross-section levels (2 of 19 in lateral arm flap, 3 of 27 in anterolateral thigh flap, and 3 of 23 in radial forearm free flap). Conclusion Although septocutaneous vessels appear identical macroscopically, microscopically two types of vessels with paraseptal and intraseptal pathways are observed. The majority of these vessels are merely adherent to the septum having a paraseptal pathway, while a minority are within the septum and are "true" septocutaneous perforators. It is advisable to dissect with a piece of the septum in order to avoid damage or injury to the perforator.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
ISSN
0743-684X
e-ISSN
1098-8947
Volume of the periodical
41
Issue of the periodical within the volume
6
Country of publishing house
US - UNITED STATES
Number of pages
7
Pages from-to
540-546
UT code for WoS article
001349362100001
EID of the result in the Scopus database
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