SciELO - Scientific Electronic Library Online

vol.40 número4Angiosarcoma radioinducido de mama: dos casos de una patología infrecuenteExpansores tisulares en reconstrucción de defectos craneofaciales: estudio multicéntrico retrospectivo índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Cirugía Plástica Ibero-Latinoamericana

versión On-line ISSN 1989-2055versión impresa ISSN 0376-7892


AGUILERA-SAEZ, J. et al. Reconstruction of large defects in trunk using the keystone perforator flap. Cir. plást. iberolatinoam. [online]. 2014, vol.40, n.4, pp.403-411. ISSN 1989-2055.

The Keystone Perforator Island Flap (KPIF) is a local fasciocutaneous islanded flap, first published in 2003 by Behan, that does not require identification of the underlying perforator vessels. It permits the closure in a single surgical procedure of both, the defect and the donor site, usually with no need of skin grafting. Our goal is to demonstrate the usefulness of the KPIF for the coverage of large defects of the trunk. Over 120 cases have been reconstructed at our Service using the KPIF from April 2011 to May 2013. We present a series of 5 patients who underwent reconstruction of large defects of the trunk (maximum diameter ranging from 10 to 25 cm) All the surgeries were performed successfully and both, the excision defect and the donor site, were directly closed. All the patients experienced an uneventful intra and postoperative period, and all were satisfied with the eventual aesthetic appearance, without significant deformities or functional impairments. We conclude that KPIF is an optimal flap for the coverage of large defects in the trunk. It allows performing a soft tissue defect reconstruction, while the donor site is closed by direct apposition, with minimal morbidity, good cosmesis, short operative time and at a relatively low economic cost.

Palabras clave : Thoracic defects; Perforator flaps; Keystone perforator island flap.

        · resumen en Español     · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons