**6. Conclusions**

In the search of the best functional and aesthetic results, free tissue transfers have become the gold standard for many of the issues that arise in reconstructive surgery [31, 32]. Clear examples of this are the deep inferior epigastric artery perforator flap in breast reconstruction [7, 8] and the anterolateral thigh flap in head and neck reconstruction [6]. But the success of these techniques does not only depend on an adequate vascular suture, but also on a constellation of details that must be taken into account. These go from the availability of a trained team, to ergonomics, through a scrupulous cleanliness of the surgical field. All this does nothing but stress the importance of patience, good planning, attention to details or even the use of microsurgical checklists in to prevent any error that, however small, can have catastrophic consequences.

### **Acknowledgements**

The authors would like to give special thanks to their chief Dr. Antonio Taboada-Suárez for his support, constant stimuli and generosity and to Dr. Joaquim Megías Barrera for his guidance.

### **Conflict of interest**

The authors declare no conflict of interest.

### **Author details**

Ignacio Vila\*, Iván Couto-González and Beatriz Brea-García Department of Plastic Surgery, University Hospital Complex of Santiago, Santiago de Compostela, Spain

\*Address all correspondence to: ignacio.vila.garcia@sergas.es

© 2020 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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