Document Detail

Analysis of 13 cases with gastroepiploic vessels used as grafts.
MedLine Citation:
PMID:  18798143     Owner:  NLM     Status:  MEDLINE    
Free flaps are used increasingly in reconstructive surgery. However, many patients lack a satisfactory recipient vessel near the defect because of radiotherapy, post-traumatic infection, or treatment for recurrent tumor. We usually use a venous graft in such cases, but when both long arterial and venous segments are needed, we use the gastroepiploic vessels because they include extensive, viable arterial and venous segments. Between 1998 and 2006, we used gastroepiploic vessels as grafts in the 13 cases analyzed here. All defects lacked satisfactory recipient vessels nearby. Patients included 10 men and 3 women; mean age was 51.2 years (range, 14 to 82 years). Demographic and clinical background, results, and complications were analyzed retrospectively. Mean length of gastroepiploic vessels was 13.3 cm (range, 10 to 17 cm). All outcomes were satisfactory. A complication, abdominal wound infection secondary to harvesting of the gastroepiploic vessels, occurred in one case. Although the number of gastroepiploic vessels used as grafts analyzed here is relatively small, this experience confirms their clinical usefulness.
Yuzuru Kamei; Kazuhiro Toriyama; Shunjiro Yagi; Keisuke Takanari; Shuhei Torii
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-09-16
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  24     ISSN:  0743-684X     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-21     Completed Date:  2009-01-27     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  515-8     Citation Subset:  IM    
Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
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MeSH Terms
Aged, 80 and over
Anastomosis, Surgical / methods
Gastroepiploic Artery / transplantation*
Middle Aged
Omentum / blood supply
Surgical Flaps / blood supply*
Young Adult

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