The Role of the Distal Runoff Vessel of the Descending Branch of the Lateral Circumflex Femoral System in Anterolateral Thigh Flap Surgery: A Case Series and Literature Review

Annals of Plastic Surgery
Xiao-Qing HeYong-Qing Xu

Abstract

As a distal portion of the descending branch of the lateral circumflex femoral system (LCFS), the role of the distal runoff vessel in anterolateral thigh (ALT) flap surgery has long been overlooked. Recently, however, the distal runoff vessel has been increasingly used in many aspects of ALT flap surgery, and it has exhibited superior properties in solving some difficult problems. Fourteen ALT flaps using the distal runoff vessel of the descending branch of the LCFS for extremity defects were retrospectively reviewed, and recent reports on using the distal runoff vessel were reviewed to determine the role of this vessel in ALT flap surgery. In our series, the distal runoff vessel was used as a flow-through pattern in 10 cases, as a recombined chimeric flap in 2 cases, and as a backup vessel for flap salvage in 2 cases. All of the ALT flaps completely survived. None of the donor sites presented with additional morbidity as a result of harvesting the distal runoff vessel. In the literature review, the following are 5 other options for using the distal runoff vessel: in interposition artery and vein grafts, as the pedicle of the reverse-flow ALT flap, as the recipient vessel, to avoid twisting, and as a monitoring method. The dist...Continue Reading

References

Jan 1, 1990·Surgical and Radiologic Anatomy : SRA·T BéguéJ Y Nordin
Mar 1, 1983·Plastic and Reconstructive Surgery·S M Baek
Nov 7, 1998·The Journal of Thoracic and Cardiovascular Surgery·C M SchamúnF Zorzano
Jun 5, 2002·Plastic and Reconstructive Surgery·Fu-chan WeiChih-hung Lin
Jan 18, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M Javaid, G C Cormack
Mar 26, 2003·Plastic and Reconstructive Surgery·Serkan YildirimTayfun Aköz
Dec 4, 2004·Plastic and Reconstructive Surgery·Shin-Chen PanHaw-Yen Chiu
Jul 5, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yu-Te LinFu-Chan Wei
Aug 23, 2006·Microsurgery·Andreas I GravvanisOthon Papadopoulos
May 24, 2008·The British Journal of Oral & Maxillofacial Surgery·Luke CascariniAndrew J Lyons
Aug 8, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jeong Tae KimYoun Hwan Kim
Nov 21, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Daniel J Marsh, Jagdeep S Chana
Dec 5, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Athanasios Karonidis, Sheng Fa Yao
Mar 13, 2009·Head & Neck·Georgia-Alexandra Ch SpyropoulouSeng-Feng Jeng
Sep 19, 2009·The British Journal of Oral & Maxillofacial Surgery·Richard J ShawJames S Brown
Dec 17, 2009·Head & Neck·Chin-Ho Wong, Fu-Chan Wei
Jan 5, 2011·Plastic and Reconstructive Surgery·Georgia-Alexandra Ch SpyropoulouSeng-Feng Jeng
Jul 26, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M Erol DemirserenHuseyin Akkaya
Nov 19, 2011·Plastic and Reconstructive Surgery·Nai-Jen ChangChung-Chen Hsu
Jan 5, 2012·Annals of Plastic Surgery·Chin-Ho WongYee Siang Ong
Sep 25, 2012·Burns : Journal of the International Society for Burn Injuries·Yen-Chang HsiaoShiow-Shuh Chuang
Mar 8, 2013·The Kaohsiung Journal of Medical Sciences·Kao-Ping Chang, Chung-Sheng Lai
Jan 1, 2014·Plastic and Reconstructive Surgery·Yu-Hao HuangKao-Ping Chang
Feb 19, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Masaki FujiokaChikako Senju

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.