Brüner Simone, Jester Andrea, Sauerbier Michael, Germann Günter
Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center, University of Heidelberg, Ludwigshafen, Germany.
Microsurgery. 2004;24(2):114-7. doi: 10.1002/micr.20005.
A new microsurgical concept for simultaneous restoration of peripheral perfusion in the lower extremity and microsurgical free-tissue transfer is presented. The concept consists of a contralateral cross-over suprapubic arteriovenous (A-V) fistula, end-to-side anastomoses of the superficial and deep femoral artery to the A-V fistula, and microsurgical flap transfer after division of the A-V loop. With this concept, simultaneous restoration of perfusion and defect reconstruction were facilitated.
本文提出了一种用于同时恢复下肢周围灌注和进行显微外科游离组织移植的新显微外科概念。该概念包括对侧耻骨上交叉动静脉（A-V）瘘、股浅动脉和股深动脉与A-V瘘的端侧吻合，以及在切断A-V环后进行显微外科皮瓣移植。通过这一概念，灌注的同时恢复和缺损重建变得更加容易。
