How long are fasciocutaneous flaps dependant on their vascular pedicle: A unique case of SIEA flap survival

作者: Morteza Enajat , Warren M. Rozen , Iain S. Whitaker , Thorir Audolfsson , Rafael Acosta

DOI: 10.1016/J.BJPS.2009.03.009

关键词: MedicineAvulsionVascular pedicleFlap survivalSurgeryBreast reconstructionWound edgeDeep Inferior Epigastric ArteryLigationDIEP flap

摘要: Summary Background While it has long been held that muscle flaps maintain their dependency on vascular pedicle for the term, fasciocutaneous have less well investigated. Recent studies of deep inferior epigastric artery perforator (DIEP) flap suggested these may term dependence pedicles survival. There is no literature concerning effects in superficial (SIEA) flap. Case report We describe a unique case which breast reconstruction was avulsed 11 days postoperatively, with surviving its wound edge alone. Conclusion Fasciocutaneous lose short following transfer, developing alternative pathways supply and ultimately A conservative approach early course compromise due to ligation or avulsion, cases where immediate re-anastomosis not be feasible, thus supported.

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