Modification of flaps prior to local or distant transfer has gained wi
de acceptance. The term prefabricated has been used to describe all po
ssible modifications. In this article we introduce the term prelaminat
ion to refer to the implantation of tissue or other devices into a fla
p prior to transfer and suggests that prefabrication be restricted to
the implantation of vascular pedicles. A case is presented illustratin
g these concepts. (C) 1994 Wiley-Liss, Inc.