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Intermediate Technical IVT

pedicled flap

Pronunciation: PED-ih-kuld

Tissue transfer technique using adjacent tissue that remains connected to its original blood supply.

Full Definition

A reconstructive surgical technique where tissue is moved from a donor site to cover a defect while maintaining its connection to the original vascular pedicle. Pedicled flaps are commonly used in oncologic reconstruction to close defects after tumor resection while preserving reliable blood flow. Unlike free flaps, pedicled flaps do not require microvascular anastomosis, making them suitable for patients who cannot tolerate longer procedures or have compromised vascular status.

Usage

Usage note: Distinguish from 'free flap' which requires microvascular reconstruction.

In Context

  • "Chest wall reconstruction was achieved using a pedicled latissimus dorsi flap." — Operative report
  • "The pedicled flap provided excellent coverage with reliable perfusion." — Plastic surgery consultation

Also known as

local flap regional flap

Contrasted with

free flap skin graft

Don't confuse with

free flap rotational flap

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