Selective heparinization of venous anastomosis in latissimus dorsi free flaps to cover lower-extremity soft-tissue defects.

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

Microsurgery

journal_title

Microsurgery

authors

Labosky DA

doi

10.1002/micr.1920120414

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

301-7

issue

4

eissn

0738-1085

issn

1098-2752

journal_volume

12

pub_type

杂志文章
  • Objective preoperative estimation of the ability of primary closure on anterolateral thigh free flap donor site: circumference and area ratios of deep tissue to thigh.

    abstract:PURPOSE:The purpose of this study was to consider the relationship between the ratio of deep tissue including muscle to thigh at donor sites and the possibility of performing primary closure of donor site. METHODS:The subjects were 74 patients who had harvesting of anterolateral thigh (ALT) free flap from June 2005 to...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22080

    authors: Song K,Nam S,Choi S,Kim J,Lee J,Bae Y

    更新日期:2013-05-01 00:00:00

  • Proximal nerve elongation vs nerve grafting in repairing segmental nerve defects in rabbits.

    abstract::If segmental nerve defects could be repaired by elongating the proximal or distal segments, nerve grafting might be unnecessary. We elongated a 40-mm proximal segment of an injured median nerve, in the rabbit right forelimb, at a rate of 1 mm/day for 10 days in 10 rabbits and for 15 days in another 10. On the left for...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20039

    authors: Baoguo J,Shibata M,Matsuzaki H,Takahashi HE

    更新日期:2004-01-01 00:00:00

  • Microsurgical composite reconstruction in head and neck and esophagus.

    abstract::This paper describes-the indications for, the main points of the surgical technique, and the results of composite reconstruction using a combination of pediculated and free tissue units, which has allowed extensive and complex reconstruction following resection of malignant tumors in the head and neck region or in the...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(SICI)1098-2752(1996)17:6<341::AID-MICR10>

    authors: Yoshino K,Nara S,Endo M

    更新日期:1996-01-01 00:00:00

  • Inter- and intraobserver reliability of walking-track analysis used to assess sciatic nerve function in rats.

    abstract::The inter- and intraobserver reliability of the walking-track analysis of sciatic nerve function in the rat was assessed. Twenty-five walking tracks were assessed on three different occasions by four observers. Whereas the interobserver reliability was found to be excellent (r = 0.92), the intraobserver reliability wa...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920120204

    authors: Brown CJ,Evans PJ,Mackinnon SE,Bain JR,Makino AP,Hunter DA,Hare G

    更新日期:1991-01-01 00:00:00

  • Free posterior tibial artery perforator flap for floor of mouth reconstruction: a case report.

    abstract::In this report, we present a case with floor of mouth squamous cell carcinoma who underwent wide excision of tumor, a marginal mandibulectomy and bilateral selective neck dissections. A 7 cm × 4 cm fasciocutaneous flap based on a posterior tibial artery perforator (PTAP) from the left posterior leg was harvested to re...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20931

    authors: Xu ZF,Shang DH,Duan WY,Liu FY,Li P,Sun CF

    更新日期:2011-11-01 00:00:00

  • Natural course of postsurgical adhesions.

    abstract::To evaluate the natural course of postsurgical adhesion formation, a descriptive animal study was performed in a standardized rat adhesion model, involving the uterine horn and peritoneal side wall. Extent and type of postsurgical adhesion formation was evaluated at increasing postoperative time intervals up to 1 year...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160912

    authors: Bakkum EA,Trimbos-Kemper TC

    更新日期:1995-01-01 00:00:00

  • Phrenic nerve neurotization of the musculocutaneous nerve with end-to-side neurorrhaphy: a short report in a rabbit model.

    abstract::This experimental study was performed to evaluate the efficacy of end-to-side coaptation between the musculocutaneous nerve and the phrenic nerve for brachial plexus injuries with nerve-root avulsions. In an experimental rabbit model, neurotization of the musculocutaneous nerve with the phrenic nerve was compared usin...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20238

    authors: Stamatoukou A,Papadogeorgou E,Zhang Z,Pavlakis K,Zoubos AB,Soucacos PN

    更新日期:2006-01-01 00:00:00

  • Microarteriorrhaphy: blood flow after wound healing.

    abstract::The present study tests the hypothesis that early wound healing effects blood flow after experimental microarteriorrhaphy. Hemodynamic variables were measured in the rat femoral artery prior to and 3 weeks after both interrupted and continuous microarteriorrhaphy techniques. The hemodynamic variables (blood velocities...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920060212

    authors: Blair WF,Pedersen DR,Joos K,Green ER,Bondi D

    更新日期:1985-01-01 00:00:00

  • Spleen autotransplantation in mice: a novel experimental model for immunology study.

    abstract::The aim of the experimental model to develop a spleen transplant model in mice to study the role of spleen in autoimmune and transplant rejection. After a midline incision, splenectomy was performed. Four tiny segments were cut from the removed spleen and were rinsed at room temperature in physiological salt solution....

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1026

    authors: Mikó I,Bráth E,Furka I,Kovács J,Kelvin D,Zhong R

    更新日期:2001-01-01 00:00:00

  • Regeneration across cold preserved peripheral nerve allografts.

    abstract::The feasibility of peripheral nerve allograft pretreatment utilizing cold storage (5 degrees C in the University of Wisconsin Cold Storage Solution) or freeze-thawing to prevent rejection was investigated. Regeneration across cold-stored (3 or 5 weeks) or freeze-thawed (FT), 3.0-cm sciatic nerve allografts were compar...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1999)19:3<115::aid-micr1>3

    authors: Evans PJ,MacKinnon SE,Midha R,Wade JA,Hunter DA,Nakao Y,Hare GM

    更新日期:1999-01-01 00:00:00

  • Endothelialization of anastomoses in the aorta and inferior vena cava of the rat.

    abstract::Denuding endothelial damage at anastomoses may lead to thrombotic complications and failure of microvascular reconstructions. Confluent endothelial healing at anastomoses may reduce thrombotic and other complications. The progress of endothelial coverage of anastomotic structures in the aorta and inferior vena cava (I...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920151108

    authors: Sigurbjörnsson BJ,Hallberg E,Andrén-Sandberg A,Ribbe E

    更新日期:1994-01-01 00:00:00

  • Effect of heparinized irrigating solutions on patency of experimental microvascular anastomoses.

    abstract::The effect of five different irrigating solutions on patency of four different types of microvascular anastomoses was studied. The solutions used were lactated Ringer's without heparin and four lactated Ringer's solutions with varying concentrations of heparin ranging from 10,000 units/liter to 100,000 units/liter. Th...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920100205

    authors: Zinberg EM,Choo DI,Zotter LA

    更新日期:1989-01-01 00:00:00

  • Carotid blood flow in anesthetized rats: effects of carotid ligation and anastomosis.

    abstract::An experimental model was developed for continuous measurement of the common carotid blood flow, in the anesthetized rat, with an electromagnetic flowmeter. The mean carotid blood flow for 41 rats averaged 3.2 +/- 0.2 ml/min at an average mean arterial pressure of 101 +/- 2.5 mm Hg and arterial pO2 of 106 +/- 3.4 mm H...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920130513

    authors: García-Villalón AL,Roda JM,Alvarez F,Gómez B,Diéguez G

    更新日期:1992-01-01 00:00:00

  • Superficial or deep implantation of motor nerve after denervation: an experimental study--superficial or deep implantation of motor nerve.

    abstract::Neurorraphy, conventional nerve grafting technique, and artificial nerve conduits are not enough for repair in severe injuries of peripheral nerves, especially when there is separation of motor nerve from muscle tissue. In these nerve injuries, reinnervation is indicated for neurotization. The distal end of a peripher...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10044

    authors: Askar I,Sabuncuoglu BT

    更新日期:2002-01-01 00:00:00

  • Effect of oblique nerve grafting on peripheral nerve regeneration in rats.

    abstract::Current methods of peripheral nerve repair are to rejoin cut nerve stumps directly or to bridge large gaps with autologous nerve grafts. In both cases the surface of nerve stump endings is typically cut perpendicularly to the long axis of the nerve. The outcome of such operations, however, is still not satisfactory. I...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20290

    authors: Kotulska K,Marcol W,Larysz-Brysz M,Tendera Z,Malinowska-Kołodziej I,Slusarczyk W,Jedrzejowska-Szypułka H,Lewin-Kowalik J

    更新日期:2006-01-01 00:00:00

  • Supermicrosurgical lymphaticovenular anastomosis and lymphaticovenous implantation for treatment of unilateral lower extremity lymphedema.

    abstract::Recent supermicrosurgical techniques have developed the possibility for vascular anastomosis of smaller vessels and it is now safe and sound to perform precise anastomoses between lymphatics and venules. Reported here is the 2 years experience on supermicrosurgical lymphaticovenular anastomosis and/or lymphaticovenous...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20665

    authors: Demirtas Y,Ozturk N,Yapici O,Topalan M

    更新日期:2009-01-01 00:00:00

  • Sleeve anastomosis in head and neck reconstruction.

    abstract::Various methods have been described in the literature to manage vascular discrepancies. In the head and neck area, where small recipient vessels are the rule, a reliable technique is needed to safely perform the anastomosis. During the past 10 years, we have carried out research (de la Peña et al., Transactions of the...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/1098-2752(2000)20:4<193::aid-micr9>3.0.co;

    authors: de la Peña-Salcedo JA,López-Monjardin H

    更新日期:2000-01-01 00:00:00

  • One hundred sixty-seven thumb replantations and revascularisations: early microvascular results.

    abstract::One hundred sixty-seven thumb replantations and revascularisations were performed from 1977 to 1987 by the Ljubljana microsurgical team. Early microvascular results of thumb replantations and early reoperations were analysed retrospectively. Age of the patients, level of traumatic amputation, mechanism of injury, use ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(SICI)1098-2752(1996)17:5<259::AID-MICR4>3

    authors: Janezic TF,Arnez ZM,Solinc M,Zaletel-Kragelj L

    更新日期:1996-01-01 00:00:00

  • Distal radial and ulnar arteries perforator-based adipofascial flaps for covering hand traumatic defects.

    abstract:AIM:The clinical value of adipofascial flaps based on distal ulnar or radial-artery perforators is demonstrated in a series of 14 patients with severe hand injuries and significant soft tissue defects requiring coverage. MATERIAL AND METHODS:There were 10 male and 4 female patients, aged between 23 and 72 years. The d...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20374

    authors: Ignatiadis IA,Xeinis SF,Tsiamba VA,Yiannakopoulos CK,Nomikos GN,Gerostathopoulos NE

    更新日期:2007-01-01 00:00:00

  • Management of osteonecrosis of the femoral head with pedicled iliac bone flap transfer: A multicenter study of 2190 patients.

    abstract:BACKGROUND:Osteonecrosis of the femoral head (ONFH) often affects young active adults and leads to destruction of the hip joint and disabling arthritis. Several procedures have been developed to arrest the progress of osteonecrosis and postpone the procedure of total hip replacement especially in young patients. The ai...

    journal_title:Microsurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1002/micr.30195

    authors: Zhao D,Xie H,Xu Y,Wang Y,Yu A,Liu Y,Wang A,He W,Wang X,Li Z,Sun W,Tian S,Wang B,Liu B

    更新日期:2017-11-01 00:00:00

  • Effect of low-intensity pulsed ultrasound on the expression of neurotrophin-3 and brain-derived neurotrophic factor in cultured Schwann cells.

    abstract::It is generally known that low-intensity pulsed ultrasound (LIPUS) accelerates peripheral nerve tissue regeneration. However, the precise cellular mechanism involved is still unclear. The purpose of this study was to determine how the Schwann cells respond directly to LIPUS stimuli. Thus, we investigated the effect of...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20644

    authors: Zhang H,Lin X,Wan H,Li JH,Li JM

    更新日期:2009-01-01 00:00:00

  • Use of the latissimus dorsi flap in head and neck reconstructive microsurgery.

    abstract::Reconstructive surgery of the head and neck has particularly benefited from the rapid developments in microsurgery. Resection of tumours from the head and neck which are associated with serious physical and psychological problems, or which often require multiple reconstructive procedures, can now be performed as a sin...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150711

    authors: Papadopoulos ON,Gamatsi IE

    更新日期:1994-01-01 00:00:00

  • Effect of torsion on microarterial anastomosis patency.

    abstract::All kinds of technical faults must be prevented in microvascular anastomosis for successful reconstructive microsurgery. Torsion at the anastomosis site is one of the most basic technical errors. In this study, we investigate the effect of different degrees of microarterial torsion on patency and its physical changes ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10092

    authors: Topalan M,Bilgin SS,Ip WY,Chow SP

    更新日期:2003-01-01 00:00:00

  • Optical requirements on magnification systems for intracranial video microsurgery.

    abstract:INTRODUCTION:The basic idea of video-microsurgery is the improvement of ergonomic conditions in microsurgical procedures by replacing the bulky operating microscope with a compact videosystem. OBJECTIVE:To specify optical requirements on a videosystem for microsurgical intracranial procedures in neurosurgery. METHODS...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20915

    authors: Ebner FH,Marquardt JS,Hirt B,Tatagiba M,Duffner F

    更新日期:2011-10-01 00:00:00

  • Aberrant position of the ulnar nerve within the carpal canal.

    abstract::A case is presented where both the ulnar nerve and palmaris profundus tendon were found within the carpal tunnel during routine open decompression for carpal tunnel syndrome. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10196

    authors: Papanastasiou S,Sood M

    更新日期:2004-01-01 00:00:00

  • Lymphovenous anastomosis and debulking procedure for treatment of combined severe lower extremity and genital lymphedema: A case report.

    abstract::Lymphedema most commonly occurs after cancer treatment and can affect limbs and genitalia. Genital lymphedema (GL) is a rare condition and can be disabling psychologically and physically. It often occurs along with lower extremity lymphedema (LEL). Conservative and physiologic reconstructive surgery such as lymphatico...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30331

    authors: Scaglioni MF,Uyulmaz S

    更新日期:2018-11-01 00:00:00

  • Comparison between anterolateral thigh, radial forearm, and peroneal artery flap donor site thickness in Asian patients-A sonographic study.

    abstract:PURPOSE:This study aimed to determine the thicknesses of the three locations used as donor sites for radial forearm (RF), anterolateral thigh (ALT), and peroneal flaps and to determine probable contributing factors of the thickness. METHODS:This study included 201 healthy participants (mean age: 45.8 ± 17.2 years; mal...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30164

    authors: Hsu KC,Tsai WH,Ting PS,Hsueh JH,Chen LW,Lin YS

    更新日期:2017-09-01 00:00:00

  • Circumferential choledochoplasties with autologous venous and arterial grafts.

    abstract::Circumferential choledochoplasties with vascular grafts have rarely been attempted either experimentally or in clinical practice. In this study, choledochoplasties using autologous venous and arterial grafts were performed in rats. Sixty-four rats were randomly selected into five treatment groups: A) venous interposit...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140917

    authors: Flati G,Flati D,Porowska B,Rossi G,Francavilla S,Santoro E,Carboni M

    更新日期:1993-01-01 00:00:00

  • Lateral lower leg perforator flaps: an anatomical study to localize and classify lateral lower leg perforators.

    abstract::Despite increasing use of lateral lower leg perforator flaps, comprehensive anatomical data are still lacking. The aim of this article was to comprehensively document the pattern of usable lateral lower leg perforators. Systematic mapping of 16 cadaver leg perforators in a well-defined area was performed to elucidate ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22313

    authors: Hupkens P,Schijns W,Van Abeelen M,Kooloos JG,Slater NJ,Ulrich DJ

    更新日期:2015-02-01 00:00:00

  • The free vascularised fibular transfer as a definitive treatment in femoral septic non-unions.

    abstract::Free vascularised bone transfer (fibula, iliac crest, or rib) is an accepted method of bone grafting in malignant and non-union bone surgery. The vascular microanastomoses have transformed the bone healing by creeping substitution seen after non-vascularised grafting (a long and often insufficient process) into normal...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160607

    authors: Nonnenmacher J,Bahm J,Moui Y

    更新日期:1995-01-01 00:00:00