Prefabrication of free flaps on a base of fascia

Abstract

A method of performing free fasciocutaneous flaps on a base of vascularized fascia from the scapula area (dorsal thoracic fascia of scapula) and fascia covering the serratus anterior muscle (lateral thoracic or serratus) is presented. Prefabrication allows customization of flaps, with the ability to choose a satisfactory donor area to have good vascular pedicle length and to choose skin which is better suited to the recipient region. When using these flaps, it may be necessary to perform a one- or two-stage microvascular anastomosis. The prefabrication method is presented, together with the clinical use of the two different flaps.