End-to-patch anastomosis for microvascular transfer of free flaps with small pedicle.

摘要: Summary Background Although perforator-to-perforator anastomosis in supermicrosurgery may be used transferring free flaps with small vessels, it is still difficult certain situations that include potentially infected wounds. Moreover, limited to smaller flaps. Anastomosis of large vessels safer for transfer a flap most surgeons. The harvesting patch the parent artery together perforator supplying allows surgeon perform an between vessel ends larger caliber, and possibly greater anastomotic success. Method When vascular pedicle is  Results had no failure or partial necrosis, but one patient developed bleeding from femoral 2 days postoperatively. It was treated by adding more suture coverage sartorius muscle. In ulnar artery, patients did not complain cold intolerance postoperative angiogram showed good patency after average follow-up 1 year. Conclusion For majority plastic surgeons, this method provides reliable comfortable when vessels. only concern repair donor carefully ensure site local tissue.