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J Reconstr Microsurg 2003; 19(8): 531-536
DOI: 10.1055/s-2004-815639
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Multiple Vascular Anastomoses with Vein Grafts for Salvage of Congestive Flaps

Yuzaburo Namba, Yoshio Takahashi, Seiko  Ito , Isao Koshima
  • Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan
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Publication History

Publication Date:
14 January 2004 (online)

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ABSTRACT

The authors present two cases in which the venous drainage of transferred flaps was compromised and the flaps were salvaged by vein grafts. Traditionally, once transferred free flaps had become congestive, surgeons would re-anastomose the thrombosed veins, and administer anticoagulants or carry out peripheral vessel dilation. These authors recommend not only re-anastomosis of veins, but also additional venous drainage, with or without vein grafts.

KEYWORDS

Multiple vascular anastomoses - vein graft - congestive flap

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