Distally-based free anterolateral thigh flap with a modified vena comitans
Archives of Plastic Surgery
;
: 84-87, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-739377
ABSTRACT
With the recent development in microsurgery, the use of a perforator flap has been widely implemented. If the length of the ALT flap pedicle is insufficient despite adequate preoperative planning, pedicle length extension is necessary. We planned for a reverse ALT free flap using the distal vessel of the descending branch for pedicle length extension in the case of ALT perforator branch originating from the proximal portion of the descending branch. For the management of venous congestion, the distal venae comitantes were anastomosed to the proximal venous stump in an antegrade manner, successfully resolving the venous congestion. Modified reverse-flow ALT free flap, wherein the venae comitantes are anastomosed to the proximal vein stump, is a good option that allows for relatively simple pedicle extension within the same operative field when securing an adequate pedicle length is difficult because of the origin of the perforator from the proximal descending branch, unlike the initial surgical plan.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Colgajos Quirúrgicos
/
Muslo
/
Venas
/
Extremidad Inferior
/
Colgajos Tisulares Libres
/
Colgajo Perforante
/
Hiperemia
/
Microcirugia
Idioma:
Inglés
Revista:
Archives of Plastic Surgery
Año:
2019
Tipo del documento:
Artículo
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