{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:33:29Z","timestamp":1786120409975,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,7]]},"abstract":"\n Background:<\/jats:title>\n In patients with underlying vasculopathies, the unavailability of main vessels for conventional microsurgery may preclude limb salvage. However, with the evolution of supermicrosurgical techniques, anastomosis at the perforator level that is almost always spared by the underlying disease has become possible. To overcome insufficient flow in large flap issues following the procedure, a supercharging technique was used in reconstructions using a latissimus dorsi perforator free flap.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n From January of 2008 to June of 2010, a total of 21 patients underwent reconstructive procedures for large defects of the lower extremities using supermicrosurgery with arterial and\/or venous supercharging techniques, including a latissimus dorsi perforator, an intercostal perforator, and the lateral thoracic vein.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n All flaps survived completely without arterial or venous problems. There were three minor complications of infection, venous congestion, and donor-site hematoma. Except for a hematoma evacuation procedure, complications were managed conservatively.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The latissimus dorsi perforator flap can be harvested with numerous latissimus dorsi perforators, intercostal perforators, and the lateral thoracic vein to perform the supercharging technique on reconstruction of large foot defects in patients with severe vasculopathy. This technique can be applied in various difficult situations, including traumatic injury of the main limb vessels, and can increase survival rates for limb salvage, particularly in ischemic limb reconstruction.<\/jats:p>\n <\/jats:sec>\n \n CLINICAL QUESTION\/LEVEL OF EVIDENCE:<\/jats:title>\n Therapeutic, IV.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/prs.0b013e318254b128","type":"journal-article","created":{"date-parts":[[2012,3,14]],"date-time":"2012-03-14T09:06:40Z","timestamp":1331716000000},"page":"135-144","source":"Crossref","is-referenced-by-count":21,"title":["Supermicrosurgical Reconstruction of Large Defects on Ischemic Extremities Using Supercharging Techniques on Latissimus Dorsi Perforator Flaps"],"prefix":"10.1097","volume":"130","author":[{"given":"Chang Yeon","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youn Hwan","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-28-20231119","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/0007-1226(89)90075-1","article-title":"Inferior epigastric artery skin flaps without rectus abdominis muscle.","volume":"42","author":"Koshima","year":"1989","journal-title":"Br J Plast Surg"},{"key":"R2-28-20231119","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00006534-200007000-00011","article-title":"New microsurgical breast reconstruction using free paraumbilical perforator adiposal flaps.","volume":"106","author":"Koshima","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"R3-28-20231119","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1097\/01.sap.0000120319.89926.07","article-title":"Minimal invasive lymphaticovenular anastomosis under local anesthesia for leg lymphedema.","volume":"53","author":"Koshima","year":"2004","journal-title":"Ann Plast Surg"},{"key":"R4-28-20231119","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1016\/j.bjps.2007.01.009","article-title":". The replantation of an amputated tongue by supermicrosurgery.","volume":"60","author":"Kim","year":"2007","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R5-28-20231119","first-page":"306","article-title":"Clinical experiences of finger replantation in pediatric patients.","volume":"36","author":"Shin","year":"2009","journal-title":"J Korean Soc Plast Reconstr Surg"},{"key":"R6-28-20231119","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1097\/PRS.0b013e3181904dc4","article-title":"The use of supermicrosurgery in lower extremity reconstruction: The next step in evolution.","volume":"123","author":"Hong","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"R7-28-20231119","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1097\/SAP.0b013e3181ac4263","article-title":"Using perforators as recipient vessels (supermicrosurgery) for free flap reconstruction of the knee region.","volume":"64","author":"Hong","year":"2010","journal-title":"Ann Plast Surg"},{"issue":"Suppl","key":"R8-28-20231119","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.1016\/j.injury.2008.05.020","article-title":"Free-style free flap.","volume":"39","author":"Chang","year":"2008","journal-title":"Injury"},{"key":"R9-28-20231119","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1054\/bjps.2002.3877","article-title":"An anatomical and clinical study of the dorsal intercostal cutaneous perforators, and application to free microvascular augmented subdermal vascular network (ma-SVN) flaps.","volume":"55","author":"Ogawa","year":"2002","journal-title":"Br J Plast Surg"},{"key":"R10-28-20231119","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.1097\/01.prs.0000207057.16292.8f","article-title":"Reconstruction of the diabetic foot using the anterolateral thigh perforator flap.","volume":"117","author":"Hong","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"R11-28-20231119","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1097\/PRS.0b013e3181df64c2","article-title":"Supermicrosurgery in peroneal and soleus perforator based free flap coverage of foot defects due to occlusive vascular disease.","volume":"126","author":"Kim","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"R12-28-20231119","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1016\/j.bjps.2008.03.048","article-title":"T-anastomosis in microsurgical free flap reconstruction: An overview of clinical applications.","volume":"61","author":"Kim","year":"2008","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R13-28-20231119","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1097\/01.SAP.0000068111.83104.7F","article-title":"Venous supercharging augments survival of the delayed rat TRAM flap.","volume":"51","author":"Sano","year":"2003","journal-title":"Ann Plast Surg"},{"key":"R16-28-20231119","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1097\/SAP.0b013e318156625b","article-title":"Supercharging the transverse rectus abdominis musculocutaneous flap: Breast reconstruction for the overweight and obese population.","volume":"60","author":"Wu","year":"2008","journal-title":"Ann Plast Surg"},{"key":"R17-28-20231119","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/SAP.0b013e3181893888","article-title":". Anterolateral thigh perforator flap: Varying perforator anatomy.","volume":"63","author":"Chen","year":"2009","journal-title":"Ann Plast Surg"},{"key":"R18-28-20231119","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1002\/ca.20926","article-title":"The number of intercostal artery perforators over the distal latissimus dorsi muscle.","volume":"23","author":"Beer","year":"2010","journal-title":"Clin Anat"},{"key":"R19-28-20231119","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1097\/01.prs.0000237023.99707.22","article-title":"The bipedicled and bipartite latissimus dorsi free and perforator flap: An anatomic study.","volume":"118","author":"Beer","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"R20-28-20231119","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1097\/01.PRS.0000152427.09893.80","article-title":"Two options for perforator flaps in the flank donor site: Latissimus dorsi and thoracodorsal perforator flaps.","volume":"115","author":"Kim","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"R21-28-20231119","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1002\/micr.20724","article-title":"The bipedicled latissimus dorsi myocutaneous free flap: Clinical experience with 53 patients.","volume":"30","author":"Karaaltin","year":"2010","journal-title":"Microsurgery"},{"key":"R22-28-20231119","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.bjps.2006.01.006","article-title":"The versatility of the inter-costal artery perforator (ICAP) flaps.","volume":"59","author":"Hamdi","year":"2006","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"Suppl","key":"R23-28-20231119","doi-asserted-by":"crossref","first-page":"e408","DOI":"10.1097\/PRS.0b013e3181bf844b","article-title":"Initial temporary vascular insufficiency in latissimus dorsi and thoracodorsal perforator flaps.","volume":"124","author":"Kim","year":"2009","journal-title":"Plast Reconstr Surg"}],"container-title":["Plastic & Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00006534-201207000-00028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T20:34:25Z","timestamp":1786048465000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00006534-201207000-00028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012]]}},"URL":"https:\/\/doi.org\/10.1097\/prs.0b013e318254b128","relation":{},"ISSN":["0032-1052"],"issn-type":[{"value":"0032-1052","type":"print"}],"subject":[],"published":{"date-parts":[[2012,7]]}}}