Department of Plastic and Reconstructive Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
J Reconstr Microsurg. 2010 Apr;26(3):165-70. doi: 10.1055/s-0029-1242138. Epub 2009 Nov 9.
In a standard free jejunal transfer, one artery and one vein are anastomosed. However, when raising the jejunal flap, a one-segment jejunum sometimes has two arteries and one accompanying vein as a vascular pedicle. Free jejunal transfer in which two arteries and one vein are anastomosed was designed. We report on the safety and advantages of using this artery-dominant transfer when performing microvascular anastomosis. This technique was used when a one-segment jejunum had two arteries and an accompanying vein. Eight patients underwent this arterial-supercharged free jejunal transfer. All flaps survived, and no complications developed except for two cases of intraoperative thrombosis before the procedure. It is important to transfer the artery-rich graft into the same physiological environment by reconstructing the similar hemodynamics. The grafts can be transferred without harm. This artery-dominant method can be an option when conditions are unfavorable for safer jejunal transfer.
在标准的空肠游离移植中，吻合一条动脉和一条静脉。然而，在提起空肠瓣时，一段空肠有时有两条动脉和一条伴行静脉作为血管蒂。设计了吻合两条动脉和一条静脉的空肠游离移植。我们报告了在进行微血管吻合时使用这种以动脉为主的转移的安全性和优势。当一段空肠有两条动脉和一条伴行静脉时，采用这种技术。8 名患者接受了这种动脉增强型空肠游离移植。所有皮瓣均存活，除 2 例术中血栓形成外，无其他并发症。通过重建类似的血液动力学，将富含动脉的移植物转移到相同的生理环境中非常重要。可以在不造成伤害的情况下转移移植物。当空肠转移条件不利于更安全的转移时，这种以动脉为主的方法是一种选择。
