© Copyright 2026 American Medical Association. All rights reserved.
A neurovascular pedicle flap is a specialized surgical procedure that involves the creation of a flap of tissue, which includes skin and underlying subcutaneous tissues, while preserving its blood supply. This technique is essential for covering tissue defects that may arise due to injury, surgery, or other medical conditions. The procedure begins with an incision made over the neurovascular bundle, which contains critical structures such as nerves and blood vessels. During the operation, the surgeon carefully identifies and protects the nerve that innervates the tissue, the artery that supplies blood to the flap, and the vein that drains the flap. This meticulous dissection allows for the mobilization of the tissue flap along with its neurovascular structures. Once the flap is adequately prepared, it is transferred to the recipient site, which may require the flap to be rotated or tunneled beneath adjacent tissues to effectively cover the defect. Finally, the flap is secured in place with sutures, and any secondary defects created by the flap's movement are also repaired, ensuring optimal healing and restoration of function in the affected area.
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