Temporary AV-shunt for auxiliary microvascular anastomoses of the TRAM or VRAM flap in breast reconstruction ?the turbo-charged flap

Autor:	A. Schmidt, W. Mühlbauer, G. Henckel-v.-Donnersmarck, E. Herndl
Rok vydání:	1991
Předmět:	Cephalic vein medicine.medical_specialty business.industry medicine.medical_treatment Anatomy Microsurgery Anastomosis Shunt (medical) Surgery Plastic surgery medicine.anatomical_structure cardiovascular system medicine Circumflex Inferior epigastric vessels Breast reconstruction business
Zdroj:	European Journal of Plastic Surgery. 14:17-20
ISSN:	1435-0130 0930-343X
DOI:	10.1007/bf00585583
Popis:	Despite careful dissection of the inferior epigastric vessels, pedicle length is usually found to be uncomfortably short, often necessitating the interpositioning of vein grafts when an axillary anastomosis is to be performed. Creating a temporary cephalic vein loop to either the circumflex scapulae or the pectoral branch of the acromioclavicular artery greatly facilitates the microvascular anastomoses without undue prolongation of operating time. Auxiliary microvascular anastomoses of the more dominant inferior epigastric vessels is proposed as an additional safeguard in cases where a disturbed bloodflow pattern after transpositioning the pedicled island TRAM or VRAM flap is found.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::df117ce8d2302597e0e0c8d30b7e42ca https://doi.org/10.1007/bf00585583 Zobrazit plný text záznamu Full text from SpringerLink