𝔖 Bobbio Scriptorium
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Venous flap—its classification and clinical applications

✍ Scribed by Dr. Akihiro Fukui; Yuji Inada; Masami Maeda; Shigeru Mizumoto; Hiroshi Yajima; Susumu Tamai


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
797 KB
Volume
15
Category
Article
ISSN
0738-1085

No coin nor oath required. For personal study only.

✦ Synopsis


Abstract

We previously reported pedicled venous flap survival using the rat model, as well as venovenous, arteriovenous, and arterialized flow‐through venous flap survival using the rabbit ear model. For this study, we utilized these flaps clinically. Five of seven pedicled venous flaps survived, displaying superficial necrosis. The others became partially necrotic; they were transferred after dissection of a long pedicle vein. Eight of nine venovenous flow‐through venous flaps survived; six displayed superficial necrosis. The nonsurviving flap became completely necrotic, possibly because only one donor vein and one recipient vein were used. Six of 10 arteriovenous flow‐through venous flaps survived. The remaining four became partially necrotic, possibly because only one vein was anastomosed for outflow. The arterialized flow‐through venous flap survived. The pedicled venous and venovenous groups studied seem likely to survive despite superficial necrosis. However, the draining vein should not be dissected more than 5 cm, and many draining veins should be anastomosed with recipient vessels. © 1994 Wiley‐Liss, Inc.


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