The clinical reliability of vein grafts in free-flap transfer.

Abstract:

:The use of interposition vein grafts has been associated in the literature with a high complication and flap failure rate. Ninety-three vein grafts in 55 patients over a 46-month period were analyzed to evaluate the clinical reliability of vein grafts in a predominantly trauma patient population (37/55). Fifty-two arterioarterial grafts and 41 veno-venous grafts were performed. A-V loops prior to flap transfer were created in 26 patients. The revision rate was 14.8 percent, with a salvage rate of 75 percent. Flap survival was 96.2 percent, compared to 96.7 percent for a large series of flaps without vein grafts. It can be concluded from the study, that the use of vein grafts is not associated with a higher flap failure rate, when technical pitfalls can be avoided, and close monitoring by an experienced staff is guaranteed.

journal_name

J Reconstr Microsurg

authors

Germann G,Steinau HU

doi

10.1055/s-2007-1006446

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

11-7

issue

1

eissn

0743-684X

issn

1098-8947

journal_volume

12

pub_type

杂志文章
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    authors: Inoue G,Maeda N,Suzuki K

    更新日期:1991-01-01 00:00:00

  • A Detailed Examination of the Characteristics and Treatment in a Series of 33 Idiopathic Lymphedema Patients.

    abstract::Background To date, only a few reports have been published on idiopathic lymphedema, and most of these are case reports. In this time, we performed a retrospective review of idiopathic lymphedema patients. Methods Forty patients presented with idiopathic lymphedema that was unrelated to surgery, injury, and medical co...

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  • Denervation of Pacinian corpuscles: electron microscopic observations in the rat following nerve transection.

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    authors: Baumeister S,Follmar KE,Erdmann D,Baccarani A,Levin LS

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  • Reconstruction of a floating thumb with an excess big toe.

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    pub_type: 杂志文章,评审

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    更新日期:2009-09-01 00:00:00

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    pub_type: 杂志文章

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  • Distal Nerve Transfer: Perspective of Reconstructive Microsurgery.

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    doi:10.1055/s-2007-1006944

    authors: Chick LR,Brown RE,Walton RL

    更新日期:1988-10-01 00:00:00

  • Improved location technology of perforators of anterolateral thigh flap for Chinese patients.

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    authors: Zhou H,Tan Q,Liu S,Zhou H,Wang S,Yan X,Zheng D,Wang D

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  • Diagnostic accuracy of three sensory tests for diagnosis of sensory disturbances.

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    authors: Li XM,Yang Y,Hou Y,Yang JT,Qin BG,Fu G,Gu LQ

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  • The arterialized antebrachial skin flap for hand reconstruction.

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    pub_type: 杂志文章

    doi:10.1055/s-2007-1000235

    authors: Reynoso R,Espinosa A,Mendoza M,Clifton J

    更新日期:1997-05-01 00:00:00

  • Evaluation of a novel reverse thermosensitive polymer for use in microvascular surgery.

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    doi:10.1055/s-0028-1104556

    authors: Manchio JV,Litchfield CR,Zeheb R,Bryan DJ

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  • L-arginine reduces neointimal hyperplasia in cold-stored arterial allografts in a rabbit low-flow-through model.

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    pub_type: 杂志文章

    doi:10.1055/s-2007-985210

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    更新日期:2007-08-01 00:00:00

  • Clinical use of nerve conduits in peripheral-nerve repair: review of the literature.

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    doi:10.1055/s-2002-19889

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  • Clinical anatomy of the internal oblique muscle.

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    doi:10.1055/s-2007-1007012

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    更新日期:1986-01-01 00:00:00

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  • A simple method of controlling rotation in replanted digits.

    abstract::A method of fixation for replanted digits is described. It consists of axial fixation with a wire passed longitudinally through the replanted digit, supplemented with a transverse wire passed across all the digits. In this way, splinting is provided and rotation is controlled. The method is simple, rapidly applied, an...

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  • Nerve regeneration after terminolateral neurorrhaphy: experimental study in rats.

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    更新日期:1997-01-01 00:00:00

  • Superficial Circumflex Iliac Artery-Based Iliac Bone Flap Transfer for Reconstruction of Bony Defects.

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