Salvage of Congested Deep Inferior Epigastric Perforator Flap With a Reverse Flow Venous Anastomosis
| Autor: | Peter Ashjian, Jaco H. Festekjian, Tom S. Liu |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Mammaplasty Breast Neoplasms Free flap Anastomosis Surgical Flaps Abdominal wall Postoperative Complications DIEP flap Humans Medicine Vascular Diseases Vein Rectus abdominis muscle Salvage Therapy business.industry Anastomosis Surgical eye diseases Surgery Inferior epigastric vein medicine.anatomical_structure medicine.vein Regional Blood Flow Female Mastectomy Radical business Breast reconstruction |
| Zdroj: | Annals of Plastic Surgery. 59:214-217 |
| ISSN: | 0148-7043 |
| DOI: | 10.1097/01.sap.0000250853.40099.49 |
| Popis: | The deep inferior epigastric perforator flap (DIEP) is an increasingly popular method for autologous breast reconstruction because of less abdominal wall donor-site morbidity. However, disadvantages with the DIEP flap are its greater technical difficulties for flap harvest and a greater incidence of venous congestion. We report a case of salvage of a congested DIEP flap with a superficial inferior epigastric vein (SIEV) to deep inferior epigastric vein reverse flow anastomosis. Drainage of both the superficial and deep system resulted in complete reversal of venous congestion and flap salvage. Preservation and use of the SIEV for venous augmentation via a reverse flow anastomosis is a novel and simple method for DIEP flap salvage of venous congestion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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