Intraoperative Perforator Avulsion in Free Flap Breast Reconstruction Vrije Universiteit Brussel
Perforator avulsion is a rare, feared and highly morbid complication in free flap transfer. Intraoperative and postoperative pedicle anastomosis avulsions have been described, but poor literature exists on true perforator traction tear and salvage. This chapter describes a case of an intraoperative perforator avulsion in free flap breast reconstruction combined with free vascularized lymph nodes transfer and lymphovenous anastomosis. The ...