Abstract:
:Two groups of consecutive patients treated with latissimus dorsi free myocutaneous flaps to cover lower-extremity soft-tissue defects were compared for postoperative vascular occlusion. In the first group of 13 patients (group I), there were five (38%) venous occlusions and no arterial occlusions. The second group of 15 patients (group II) was treated with selective heparinization of each venous anastomosis via a 0.35" catheter sutured into the serratus branch of the donor vein. In this group one patient suffered an arterial occlusion, but no patient suffered a venous occlusion. Statistical analysis using the Fisher exact probabilities test showed a significant decrease in vascular occlusion rate in group II, proving that selective heparinization had a beneficial effect on the venous patency rate.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Labosky DAdoi
10.1002/micr.1920120414subject
Has Abstractpub_date
1991-01-01 00:00:00pages
301-7issue
4eissn
0738-1085issn
1098-2752journal_volume
12pub_type
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