Skin flaps have contributed to a significant component in the management of traumatic injuries, beginning in military settings from a historical perspective. New Zealand's contribution to plastic and reconstructive surgery is exemplified by the work of Sir Harold Gillies and Sir Archibald McIndoe, who pioneered innovative skin flap procedures to treat injuries sustained by soldiers. These early techniques laid the groundwork for future developments in reconstruction. Throughout World War II and subsequent conflicts, military surgeons refined skin flap procedures to address the evolving nature of battlefield injuries, incorporating advancements such as microvascular surgery. Skin flap surgery has played a crucial role in the reconstruction of the face and body following traumatic injuries, burns, and congenital defects.
This review explores the historical development of skin flap techniques within New Zealand’s history and beyond, from its early applications in World War I to its integration with modern surgical advancements. These advancements have not only enhanced the physical recovery of patients but have also played a significant role in improving psychological well-being by restoring appearance and function, ultimately empowering individuals to regain confidence and quality of life. In the contemporary era, 3D imaging, robotic surgery, and advanced prosthetics have further enhanced the efficacy of skin flap surgeries. These modern techniques have improved both the functional and aesthetic outcomes for injured patients.New Zealand continues to be at the forefront of plastic and reconstructive surgery, with a focus on improving the quality of life for patients through advanced face and body reconstruction techniques and allowing for both functional restoration and aesthetic enhancement.
Keywords:
Skin flap surgery, Reconstructive Surgery, History of Plastic Surgery, Military Surgery.