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Short-term augmentation of venous drainage with extra-corporeal shunt and simultaneous auto-transfusion, for salvaging a congested free flap.

作者信息

Patil Rahul K, Jayaprasad Kiran, Sharma Saurabh, Sharma Mohit, Mathew Jimmy

机构信息

Department of Plastic Surgery, Sparsh Hospital, Bangalore, India.

Department of Plastic Surgery, Amrita Institute of Medical Sciences, Cochin, Kerala, India.

出版信息

Indian J Plast Surg. 2013 Sep;46(3):572-6. doi: 10.4103/0970-0358.122024.

DOI:10.4103/0970-0358.122024
PMID:24459352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3897107/
Abstract

Adequate drainage of venous blood is the most critical part of successful free tissue transfer. We report a case of anterolateral thigh flap used for covering open communited tibial fracture. The flap was salvaged with short term augmentation of venous drainage with external shunt. The drainage was continued for six days. It was confirmed that there is no more congestion after blocking the catheter and then the drainage was discontinued on seventh day. The flap was successfully salvaged. This method has potential applications in multiple situations for successful salvage of free tissue transfer.

摘要

相似文献

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本文引用的文献

1
Unfavourable results in free tissue transfer.游离组织移植的不良结果。
Indian J Plast Surg. 2013 May;46(2):247-55. doi: 10.4103/0970-0358.118600.
2
Successful salvage of venous thrombosis of a free flap by creation of a venocutaneous fistula.游离皮瓣静脉血栓形成通过建立动静脉瘘成功挽救。
J Reconstr Microsurg. 2011 May;27(4):243-50. doi: 10.1055/s-0031-1275488. Epub 2011 Mar 24.
3
A single center comparison of one versus two venous anastomoses in 564 consecutive DIEP flaps: investigating the effect on venous congestion and flap survival.一项 564 例 DIEP 皮瓣中 1 对 2 静脉吻合的单中心比较:研究静脉淤血和皮瓣存活的影响。
Microsurgery. 2010;30(3):185-91. doi: 10.1002/micr.20712.
4
Early use of microvascular free tissue transfer in the management of electrical injuries.早期应用微血管游离组织移植治疗电烧伤
Burns. 2008 Aug;34(5):681-7. doi: 10.1016/j.burns.2007.08.025. Epub 2008 Jan 31.
5
Timing of presentation of the first signs of vascular compromise dictates the salvage outcome of free flap transfers.血管危象最初迹象出现的时间决定了游离皮瓣移植的挽救结果。
Plast Reconstr Surg. 2007 Jul;120(1):187-195. doi: 10.1097/01.prs.0000264077.07779.50.
6
Salvage of a free flap after late total thrombosis of the flap and revascularisation.皮瓣晚期完全血栓形成及血管再通后游离皮瓣的挽救
Scand J Plast Reconstr Surg Hand Surg. 2004;38(1):50-2. doi: 10.1080/02844310310007872.
7
External venous shunt as a solution to venous thrombosis in microvascular surgery.外部静脉分流术作为微血管手术中静脉血栓形成的一种解决方案。
Br J Plast Surg. 2001 Mar;54(2):164-6. doi: 10.1054/bjps.2000.3511.
8
Venous congestion and blood flow in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps.游离腹直肌肌皮瓣和腹壁下深动脉穿支皮瓣中的静脉淤血与血流情况
Plast Reconstr Surg. 2000 Nov;106(6):1295-9. doi: 10.1097/00006534-200011000-00009.
9
A prospective study of microvascular free-flap surgery and outcome.微血管游离皮瓣手术及其结果的前瞻性研究。
Plast Reconstr Surg. 1998 Sep;102(3):711-21. doi: 10.1097/00006534-199809030-00015.
10
Timing of pedicle thrombosis and flap loss after free-tissue transfer.游离组织移植后椎弓根血栓形成和皮瓣丢失的时间
Plast Reconstr Surg. 1996 Dec;98(7):1230-3. doi: 10.1097/00006534-199612000-00017.