Department of Plastic and Reconstructive Surgery, Ataturk Research and Training Hospital, Izmir, Turkey.
J Reconstr Microsurg. 2013 May;29(4):249-54. doi: 10.1055/s-0032-1331149. Epub 2013 Jan 17.
The flaps based on the vascular axis of superficial sensitive cutaneous nerves had gained increased popularity in reconstructive surgery because of such major advantages as preservation of major extremity arteries and avoidance of microsurgical procedures. However, postoperative venous congestion resulting in partial or total necrosis is still a common problem for these flaps. The aim of the current study is to introduce a new method for reducing the postoperative venous congestion of neural island flap with the results of reconstruction of the soft tissue defects of foot and ankle. This method was used to treat 19 patients with various chronic soft tissue defects of the foot and ankle between 2011 and 2012. We observed that the novel method presented in this report enables effective venous drainage, solving the postoperative venous congestion problem of these flaps.
基于皮神经血管轴的皮瓣因其保留了肢体主要动脉和避免了显微外科手术等主要优点，在重建外科中越来越受欢迎。然而，术后静脉淤血导致部分或全部坏死仍然是这些皮瓣常见的问题。本研究旨在介绍一种新的方法，通过对足部和踝关节软组织缺损的重建，减少神经岛状皮瓣术后的静脉淤血。该方法于 2011 年至 2012 年期间用于治疗 19 例各种慢性足部和踝关节软组织缺损的患者。我们观察到，本报告中介绍的新方法能够有效地进行静脉引流，解决了这些皮瓣术后静脉淤血的问题。
