Microsurgery and Plastic Surgery in Haemophilia

Microsurgery is increasing popularity among plastic surgeons, creating new alternative solutions for patients that until few years ago only had amputation as final option. Muscles are supplied by several vascular pedicles and the knowledge of their anatomy may allow the use of myocutaneos islands and a rotation on its axis (propeller flap), or a complete detaching from the rest of the body (free flap) and its anastomosis with a recipient vessel to cover soft tissue defects. These procedures are very similar in patients affected by Haemophilia: the only specific issue in such patients is the attention paid to the maintenance of an adequate vascularization that represents the key for the survival of any type of flap.

Keywords: free flaps, Haemophilia, Microsurgery, plastic surgery, propeller flaps.