We used two flow-through arterialised venous free flap transfers with the long saphenous vein to reconstruct major arteries and injured skin and soft tissues in the upper extremity. Operating time was reduced, only one donor site was used, and reconstruction of a long arterial defect (24-25 cm) was possible.
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The arterialised saphenous venous flow-through flap for managing the radial forearm free flap donor site.
Microsurgery
May 2022
Department of Plastic & Reconstructive Surgery, Monash Health, Clayton, Victoria, Australia.
Background: The radial forearm fasciocutaneous flap (RFFF) is a workhorse flap, however concerns with donor site morbidity include tendon exposure, delayed wound healing, impaired sensitivity, and poor cosmesis, have seen it fall out of favor. We present a method of using an arterialised saphenous flow through flap to reconstruct the RFFF donor site.
Method: A cohort study of six patients (five male, one female; mean age 59 [range 19-90]) who had their RFFF donor site reconstructed with an arterialised saphenous flow through flap is presented.
Free arterialised flow-through venous flap with venous anastomosis as the outflow (A-A-V flap) for reconstruction after severe finger injuries.
J Plast Surg Hand Surg
February 2013
Department of Plastic and Reconstructive Surgery, Sumiya Orthopaedic Hospital, Wakayama, Japan.
Abstract For reconstruction of volar defects, an arterialised flow-through venous flap (A-A flap) can be used to restore the soft tissues and the digital artery at the same time. However, there have been reports that the circulation of this flap is inadequate. This study used a venous flap with only one venous anastomosis for the outflow of an A-A flap (A-A-V flap) to solve this problem.
View Article and Find Full Text PDFFactors affecting the success of arterialised venous flaps in the hand.
Injury
October 2008
Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Arterialised venous flaps provide skin with thin subcutaneous tissue, making them suitable for covering skin defects on the hand. However, they are often susceptible to subsequent unpredictable superficial or partial necrosis. We performed a retrospective analysis of the free arterialised venous flaps that we had used in patients to identify prognostic factors that correlate with flap necrosis.
View Article and Find Full Text PDFFlow-through arterialised venous free flap using the long saphenous vein for salvage of the upper extremity.
Scand J Plast Reconstr Surg Hand Surg
January 2009
Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine and Hospital [corrected] Gyeongsang National University, Jinju, South Korea.
We used two flow-through arterialised venous free flap transfers with the long saphenous vein to reconstruct major arteries and injured skin and soft tissues in the upper extremity. Operating time was reduced, only one donor site was used, and reconstruction of a long arterial defect (24-25 cm) was possible.
View Article and Find Full Text PDFPeripheral venous hypertension after the creation of arteriovenous fistula for haemodialysis.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub
July 2004
2nd Clinic of Surgery, Faculty of Medicine and Teaching Hospital, Olomouc, Czech Republic.
The function of an arteriovenous (av) fistula for haemodialysis may be complicated by manifestation of peripheral venous hypertension, which results from the arterial blood flow through the venous system into the periphery of the upper extremity. Its development is most typically caused by a proximal forearm av-fistula, as, in addition to the desirable arterialisation of the subcutaneous venous system of the arm, arterialisation of the venous system of the forearm and the hand may occur and possibly promote the development of venous hypertension, which may in the extreme result in gangrene of the fingers. Awareness of these problems as well as of the necessity of their surgical solution is essential for doctors dealing with haemodialysis.
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