Document Detail

Vascular pedicle avulsion in free flap breast reconstruction: a case of diep flap salvage following early avulsion of venous anastomosis and literature review.
MedLine Citation:
PMID:  20091858     Owner:  NLM     Status:  MEDLINE    
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.
Efstathios G Lykoudis; Dimosthenis E Ziogas; George E Papanikolaou
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Microsurgery     Volume:  30     ISSN:  1098-2752     ISO Abbreviation:  Microsurgery     Publication Date:  2010  
Date Detail:
Created Date:  2010-03-16     Completed Date:  2010-06-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309230     Medline TA:  Microsurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  233-7     Citation Subset:  IM    
Department of Plastic Surgery, Ioannina University School of Medicine, Ioannina, Greece.
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MeSH Terms
Anastomosis, Surgical
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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