Document Detail


Clinical experience of a microvascular venous coupler device in free tissue transfers.
MedLine Citation:
PMID:  18055305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Most free flap failures result from technical problems in performing vascular anastomoses, such as endothelial intima lacerations, distortion of the vessels, and unequal intersuture distances. These incorrect practices can lead to thrombosis formation and, ultimately, flap failure. Solving this problem is a challenging issue for all micro-reconstructive surgeons. In the last decade, a vascular anastomotic coupler instrument was developed and reported on. We review our recent experiences of free tissue transfer using this vascular coupler device, and discuss how venous problems can be overcome with its aid. We believe the excellent patency rate of the coupler may minimize the well-described problems of venous thrombosis in the challenging field of free tissue reconstructions.
Authors:
Kao-Ping Chang; Sin-Daw Lin; Chung-Sheng Lai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Kaohsiung journal of medical sciences     Volume:  23     ISSN:  1607-551X     ISO Abbreviation:  Kaohsiung J. Med. Sci.     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960562     Medline TA:  Kaohsiung J Med Sci     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  566-72     Citation Subset:  IM    
Affiliation:
Faculty of Medicine, College of Medicine, Kaohsiung Medical University, and Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. kapich@kmu.edu.tw
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anastomosis, Surgical / instrumentation*
Female
Humans
Male
Microsurgery / instrumentation*
Middle Aged
Surgical Flaps*
Vascular Surgical Procedures / instrumentation*
Veins / surgery

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