الفهرس 
Anatomical Basis of Reconstructive Coverage TissuesOnly 14 pages are availabe for public view
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Abstract
Pudendal thigh flap is an axial-pattern flap based on the superficial branch of the pudendal artery. It is a sensate flap and provides a nice contour of the perineum. The Singapore flap is a simple technique with short harvest time, it is robust with a vigorous blood supply and it is a single-stage procedure. A new freestyle pedicle flap (iPap thigh flap) is based on a skin perforator of the internal pudendal artery. A propeller-type flap can be used; however, a conventional transposition-type flap is preferred because the skin bulkiness around the flap base is not noticeable. Internal pudendal perforator artery–based gull wing flap is mobilised by suprafascial or subfascial dissection, but saved around the traced area of the perforators. Combined iPap fascio-cutaneous with gracilis muscle flap is used as a turnover flap and to cover the surface of the defect and adjust the scrotal contour. Pudendal thigh flap anteriorly based on deep external pudendal artery (DEPA) is a new tool for scrotal coverage that provided excellent results, including a near normal scrotum and the donor site in a hidden natural crease.
The vertical rectus abdominis flap is used for the coverage of complex groin and perineal defects or as an alternative to the ALT flap. Bilateral inferior gluteal artery perforator (IGAP) flap has gained popularity owing to its technical simplicity and reliability. Lotus flap has the design of the flaps resembles the petals of the lotus flower. The shape of the flaps is appropriately tailored to the reconstructive requirements of the local defects and do not necessarily conform to the shape of a “petal”. The lotus petal flap is vascularized by several perforators of the superficial perineal artery. Its vascular pedicle can be practically designed in the triangle formed by the ischial tuberosity, anus and urethral meatus.