Abstract：
A perforator is a vessel that travels through muscle and perfuses the skin. Perforator flaps require intramuscular dissection and can be used as pedicled or free flap. With improved understanding of microvasculature, they can be tailored to have multiple skin paddles, multiple components, or shaped to conform to any defect. Reliable perforator flap-based reconstruction is a meticulous microvascular technique, ultimately allowing the surgeon to harvest any flap in a freestyle fashion and transplant to any recipient vessel. New technologies improve the safety and reproducibility of this type of reconstruction.
摘要：
穿孔器是穿过肌肉并灌注皮肤的血管。穿支皮瓣需要肌内解剖，可用作带蒂或游离皮瓣。随着对微血管系统的了解的提高，它们可以被定制为具有多个皮肤桨，多个组件,或成形以适应任何缺陷。可靠的穿支皮瓣重建是一种细致的微血管技术，最终允许外科医生以自由式方式收获任何皮瓣并移植到任何受体血管。新技术提高了这种重建的安全性和可重复性。
