| Can a True Perforator Flap Survive in Venous Blood?: A Case Report of Anterolateral Thigh True Perforator Flap Supplied by Antegrade Venous Inflow. | |
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MedLine Citation:
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PMID: 21712705 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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In some cases of degloving injury, as a result of multiple venous anastomoses formed on the peripheral and proximal sides, the detached flap skin did survive, though with patchy necrosis. On the basis of this experience, the skin and soft-tissue defects after removing skin cancer were closed with an anterolateral thigh true perforator flap, measuring 4 × 5 cm in size, which is nourished by venous blood. The subcutaneous vein on the peripheral side of the defect was anastomosed to the perforator artery, and the veins on the proximal side of the defects were anastomosed to the concomitant veins of the perforator. After surgery, to ensure a sufficient blood flow to the flap, the affected limb was positioned lower than the heart for 1 week. To prevent microthrombus in the perforator branch and the flap, preventive anticoagulant therapy was performed. The transplanted flap had marked cyanosis for a few days, but turned pinkish on the sixth day after surgery. The flap completely survived. As opposed to venous flaps reported in the past, the physiologic direction of blood flow of the flap is from arteries to veins and it is nourished exclusively by venous blood. If a flap is small, and there are no appropriate recipient vessels nearby, this method could serve as a favorable alternative. |
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Authors:
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Masakazu Ao; Kie Nakago; Sunao Morisada; Seijirou Koshimune |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-6-27 |
Journal Detail:
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Title: Annals of plastic surgery Volume: - ISSN: 1536-3708 ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-6-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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From the *Department of Plastic and Reconstructive Surgery, Iwakuni Clinical Center, National Hospital Organization, Iwakuni, Yamaguchi, Japan; and †Department of Orthopedic Surgery, Kobe Red Cross Hospital, Kobe, Hyogo, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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