Figus, Andrea and Ramakrishnan, Venkat and Rubino, Corrado (2008) Comment on: Patel SA and Keller A "A theoretical model describing arterial flow in the DIEP flap related to number and size of perforator vessels" J Plast Reconstr Aesthet Surg 2008;61:1316-20. Journal of Plastic, Reconstructive & Aesthetic Surgery, Vol. 61 (11), p. 1320. ISSN 1748-6815. Article.
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We read with much interest the article entitled "A theoretical model describing arterial flow in the DIEP flap related to number and size of perforator vessels" by Patel and Keller. We really appreciate the efforts of the authors in trying to investigate the perfusion factors of perforator flaps. As we already reported and supported by the wide experience of several colleagues who internationally have developed this kind of surgical flap, the deep inferior epigastric artery perforator (DIEAP) flap arterial flow is becoming more and more clear. Without any doubts, from a haemodynamic point of view, perforator flaps and particularly the DIEAP flap represent peculiar entities compared to the conventional arterial tree structure of the myocutaneous flaps and the normal circulation.
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