Use of 20 cm or longer interposition vein grafts in free flap reconstruction of the trunk

Plastic and Reconstructive Surgery
Y L KaranasW C Lineaweaver

Abstract

Between January of 1993 and September of 1995, six microsurgical free tissue transplants were performed using saphenous vein grafts ranging from 20 to 39 cm in length. All six free flaps survived. Two wounds were caused by radiation injury and two by tumor resection. The remaining two free flaps were performed for contour deformity and spinal cord coverage. All of the recipient sites were located on the trunk. In each case, an arteriovenous loop was created before the microvascular anastomosis to the free flap. There was one arterial thrombosis requiring thrombectomy and revision of the anastomosis. Three patients developed minor wound complications that responded to local wound care. Each of the flaps successfully provided wound coverage, and in two cases the flaps tolerated further radiation results. Long interposition vein grafts can be used for difficult microsurgical reconstructive procedures with reliable results when no local recipient vessels are available. Versatility is therefore afforded in placement of the flap and the choice of recipient vessels, making this option a useful one in the treatment of complex wounds of the trunk.

References

Jan 1, 1978·Plastic and Reconstructive Surgery·B S AlpertM Brownstein
Oct 1, 1975·British Journal of Plastic Surgery·S Fujikawa, B M O'Brien
Jan 1, 1992·Microsurgery·C VlastouR Jordan
Jun 1, 1992·Journal of Cardiac Surgery·K G BrockbankK A Walsh
Apr 1, 1990·Journal of Reconstructive Microsurgery·A S EarleR B Jordan
Mar 1, 1990·Plastic and Reconstructive Surgery·K C ShestakW M Swartz
Jan 1, 1988·Journal of Reconstructive Microsurgery·G G Hallock
Feb 1, 1986·Plastic and Reconstructive Surgery·F Nahai, R Hagerty
Apr 1, 1983·Plastic and Reconstructive Surgery·A H SalibianD L Wood
May 1, 1995·Plastic and Reconstructive Surgery·B S AtiyehT Husami
Jul 1, 1994·Journal of Reconstructive Microsurgery·F ZhangH J Buncke
May 1, 1993·Journal of Reconstructive Microsurgery·M J MillerS S Kroll
Jan 1, 1996·Journal of Reconstructive Microsurgery·G Germann, H U Steinau

❮ Previous
Next ❯

Citations

Nov 25, 2003·Annals of Surgery·Erkki TukiainenSirpa Asko-Seljavaara
Jul 31, 2013·Annales de chirurgie plastique et esthétique·H ShipkovA Mojallal
Jul 3, 2018·Plastic and Reconstructive Surgery·Amir InbalLawrence J Gottlieb
Jun 22, 2006·Clinical Orthopaedics and Related Research·Nho V TranStephen W Carmichael
Aug 26, 2006·Plastic and Reconstructive Surgery·David W MathesRod J Rohrich
Jun 4, 2008·Annals of Plastic Surgery·Vincent LemaireOliver Heymans
Feb 28, 2008·Plastic and Reconstructive Surgery·Pedro C Cavadas
Nov 1, 2005·Annals of Plastic Surgery·Alexandra K SchmidekDonald J Morris
Jun 8, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jean Marie ServantAlain Danino

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Basal Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.