Chapter 8 drawing did not exceed the ventral edge of the TFL and that as much gluteal fat was included as possible (fi g 8.4). The pinch test was used to identify the maximal width of the fl ap. Figure 8.4.marking of the skin island of the sc-TFL. The dissection of the fl ap started cranio-ventrally with the leg in a bent and adducted position to improve the identifi cation of the septa between the muscles. Attention was paid to spare the lateral femoral cutaneous nerve: the variability of it is already well known and described20. The septum between the TFL and gluteus medius muscle was palpated: identifi cation of this space is the key point of the dissection. Perforators coming from the septum were identifi ed. The septum was opened leaving a cuff of fascia around the per- forator(s) to avoid damage. Subsequently, the rest of the fl ap was incised and elevated (fi g 8.5 and 8.6). Usually hereafter the leg was extended and abducted again to have less tension on the TFL fascia. 137
5. lay-out phd DEFINITIEF_digitaal2
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