The New Imaging Techniques in Reconstructive Microsurgery: A New Revolution in Perforator Flaps and Lymphatic Surgery

Abstract

Microsurgery has continuously evolved over the past 40 years. The early period was dedicated to the delineation of soft tissue microvascular anatomy and understanding the hemodynamic of flaps and their perfusion led to the establishment of fasciocutaneous, musculocutaneous muscle and bony flaps.[1] In late 1980s, the anatomical work from Taylor and Palmer led to the introduction of the angiosome concept and to the description of an average of 374 major perforators through the human body.[2] Later, the clinical work by Koshima and Soeda opened the perforator era in microsurgery.[3]

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