Some free flaps have the intrinsic disadvantage of a short vascular pedicle. In these cases, the pedicle should be harvested over all its available length as this will be helpful in performing a tension-free microanastomosis. However, particular difficulties may be present during the dissection and can sometimes lead to a suboptimal pedicle length. Here we report on the use of vacuum-assisted lipodissection in two specific situations during perforator flap harvesting.
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Published online: July 10, 2006
© 2006 The British Association of Plastic Surgeons. Published by Elsevier Inc. All rights reserved.