Godina M
Plast Reconstr Surg. 1979 Nov;64(5):673-82.
In our early clinical experience with free flaps, we used end-to-end arterial anastomoses and in 9 our of 24 we had complete failures--7 of which were due to early arterial thrombosis. Contrarily, in 41 consecutive free flaps with end-to-side anastomoses we have not had a single failure. At the same time that we began using the end-to-side anastomoses, we also began using the latissimus dorsi free flap as our flap of first choice, and we agree that this was probably an additional reason for our improved success rate. The use of end-to-side anastomoses has the following advantages: (1) a high success rate; (2) preservation of all existing vessels in an injured extremity; (3) greater freedom of operative planning; and (4) technical simplicity in terms of access to the vessels. For us, these advantages have made end-to-side anastomosis the technique of choice in the transfer of free flaps.
在我们早期使用游离皮瓣的临床经验中，我们采用端端动脉吻合术，在24例中有9例完全失败，其中7例是由于早期动脉血栓形成。相反，在41例连续采用端侧吻合术的游离皮瓣中，我们没有一例失败。在我们开始使用端侧吻合术的同时，我们也开始将背阔肌游离皮瓣作为首选皮瓣，我们认为这可能是成功率提高的另一个原因。端侧吻合术的使用具有以下优点：（1）成功率高；（2）保留受伤肢体中所有现存血管；（3）手术规划有更大的自由度；（4）在血管入路方面技术简单。对我们来说，这些优点使端侧吻合术成为游离皮瓣移植的首选技术。
