| Vascular pedicle avulsion in free flap breast reconstruction: a case of diep flap salvage following early avulsion of venous anastomosis and literature review. | |
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MedLine Citation:
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PMID: 20091858 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Free flap vascular pedicle avulsion represents an extremely rare complication in reconstructive microsurgery. Very few cases have been reported in the literature, most of them identified in free flap breast reconstruction. As a result, little data is currently available on the etiology and treatment of this rare complication. Herein, we report a unique case of early venous anastomosis avulsion following free DIEP flap transfer for delayed breast reconstruction. Venous outflow was successfully restored with the use of an interposition vein graft, and the flap survived completely. In addition, the relevant literature is reviewed; and the possible causes, preventive strategies, and management options are analyzed. |
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Authors:
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Efstathios G Lykoudis; Dimosthenis E Ziogas; George E Papanikolaou |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Microsurgery Volume: 30 ISSN: 1098-2752 ISO Abbreviation: Microsurgery Publication Date: 2010 |
Date Detail:
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Created Date: 2010-03-16 Completed Date: 2010-06-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309230 Medline TA: Microsurgery Country: United States |
Other Details:
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Languages: eng Pagination: 233-7 Citation Subset: IM |
Affiliation:
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Department of Plastic Surgery, Ioannina University School of Medicine, Ioannina, Greece. elykoudi@cc.uoi.gr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical Female Humans Mammaplasty* Microsurgery Middle Aged Postoperative Nausea and Vomiting / complications* Salvage Therapy Surgical Flaps / blood supply* Veins / injuries, surgery*, transplantation Venous Thrombosis / etiology, surgery* |
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