新型位间静脉移植物用于岛状皮瓣的椎弓根扩张

Shuhei Yoshida, I. Koshima, S. Nagamatsu, K. Yokota, Shuji Yamashita, M. Harima, K. Tashiro
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引用次数: 0

摘要

摘要背景 岛状蒂皮瓣通常存在着覆盖范围有限的问题。在这种情况下,游离皮瓣可用于重建,但通常存在无法获得合适受体血管的问题。因此,如果岛状皮瓣的蒂可以尽可能地延伸,这将是有帮助的。方法 在这里,我们描述了在一个病例中,使用插入静脉移植物来延伸岛状蒂皮瓣来重建缺血性膝上截肢残端,在另一个病例的放射治疗后,使用植入静脉移植物密封臀部顽固性瘘管。在缺血性残端患者中,使用从对侧采集的大隐静脉将上腹部下穿支皮瓣延长6厘米,从而成功覆盖残端。在臀部有顽固性瘘管的患者中,使用从右前臂到上臂采集的头静脉,将胸背动脉和静脉移植物延长25厘米,从而成功密封了瘘管。后果 两个病例的循环均令人满意,两个皮瓣均存活。手术过程很简单。结论 位置间静脉移植物可能是一个可行的选择岛状蒂皮瓣的扩展,包括岛状蒂瓣和游离瓣的特点。
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Novel Interpositional Vein Grafting for Pedicle Extension of Island Pedicle Flaps
Abstract Background Island pedicle flaps often have the problem of limited reach. In such cases, free flaps are useful for reconstruction but often have the issue of unavailability of suitable recipient vessels. Therefore, it would be helpful if the pedicle of an island flap could be extended as far as necessary. Methods Here, we describe the use of interpositional vein grafts to extend island pedicle flaps for the reconstruction of an ischemic above-knee amputation stump in one case and to seal an intractable fistula on the buttock after radiation therapy in another case. In the patient with the ischemic stump, a deep inferior epigastric perforator flap was extended by 6 cm using the great saphenous vein harvested from the contralateral side, allowing successful coverage of the stump. In the patient with an intractable fistula on the buttock, a thoracodorsal artery and vein graft that was extended by 25 cm using the cephalic vein harvested from the right forearm to upper arm allowed successful sealing of the fistula. Results Circulation was satisfactory in both cases and both flaps survived. The operative procedure was straightforward. Conclusion Interpositional vein grafts may be a feasible option for the extension of island pedicle flaps to include the features of an island pedicle flap and a free flap.
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审稿时长
14 weeks
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