Selective epithelial ischemia of transferred free jejunum after late loss of its vascular pedicle

Annals of Plastic Surgery
Hideki KadotaShizuo Komune

Abstract

Free flaps are considered to revascularize from the surrounding tissue and survive without their original pedicle flow after a certain period postoperatively. We report 2 patients who developed mucosal ischemia of the transferred jejunum by ligation of its vascular pedicle 10 and 25 months after microvascular free jejunal transfer. Both patients had a history of heavy smoking, and had undergone definitive radiotherapy and previous surgery to the recipient bed. Both were treated conservatively; however, a stenotic change of the transferred jejunum remained in 1 patient. If poorly revascularized flaps, such as jejunal flaps, were transferred to the irradiated and scarred recipient bed, revascularization might never reach completion. If pedicle division is required in such cases, reanastomosis of the pedicle would be ideal regardless of the time after the transfer.

References

Oct 1, 1978·British Journal of Plastic Surgery·M J BlackL A Sharzer
Jun 1, 1990·The Annals of Otology, Rhinology, and Laryngology·E J de VriesR Wagner
Aug 1, 1984·Plastic and Reconstructive Surgery·J Fisher, M B Wood
Jan 1, 1982·British Journal of Plastic Surgery·C T Khoo, B N Bailey
Jan 1, 1993·Journal of Reconstructive Microsurgery·R C Sadove, M J Kanter
Mar 9, 2002·The British Journal of Oral & Maxillofacial Surgery·S Schultze-MosgauF W Neukam
Oct 31, 2002·Journal of Reconstructive Microsurgery·Christopher J SalgadoJoseph M Serletti

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Citations

Jan 12, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Klaus-Dietrich WolffAndreas M Fichter
Apr 17, 2019·Annals of Surgical Oncology·Satoshi Onoda, Masahito Kinoshita

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