Comparing with free perforator flap

pedicled flap is a relatively simpler and safer technique

with lesser donor site morbidity. In recent years

the application of pedicled perforator flaps has emerged as a new option for breast reconstruction. Those pedicled perforator flaps include thoracodorsal artery perforator flap

intercostal artery perforator flap (lateral intercostal artery perforator flap

anterior intercostal perforator flap) etc. Serratus anterior artery perforator flap

superior epigastric artery perforator flap

and lateral thoracic artery perforator flap can also be raised technically. To enhance surgical accuracy

it is necessary to evaluate the location and quality of perforator vessels preoperatively. Proper flap design is of more importance for pedicled flap when compared with it’s free flap counterpart. Although free flap approach remains the golden standard in breast reconstruction when considering autologous tissue transplantation

pedicled perforator flap has the apparent merits of minimized surgical trauma

less time-consuming and less stress for reconstructive surgeons.