Reliability of Long Vein Grafts for Reconstruction of Massive Wounds
When handling large wounds, zone of injury is a key concept in reconstructive microsurgery, as it pertains to the selection of recipient vessels. Historically, surgeons have avoided placing microvascular anastomosis within widely traumatized, inflamed, or radiated fields. The harvest of vein grafts...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/19/6209 |
| _version_ | 1797575697908105216 |
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| author | Brian Chuong Kristopher Katira Taylor Ramsay John LoGiudice Antony Martin |
| author_facet | Brian Chuong Kristopher Katira Taylor Ramsay John LoGiudice Antony Martin |
| author_sort | Brian Chuong |
| collection | DOAJ |
| description | When handling large wounds, zone of injury is a key concept in reconstructive microsurgery, as it pertains to the selection of recipient vessels. Historically, surgeons have avoided placing microvascular anastomosis within widely traumatized, inflamed, or radiated fields. The harvest of vein grafts facilitates reconstruction in complex cases by extending arterial and/or venous pedicle length. To illustrate the utility and fidelity of these techniques, this paper reviews the indications and outcomes for vein grafting in ten consecutive patients at a single tertiary referral center hospital. The case series presented is unique in three aspects. First, there are two cases of successful coaptation of the flap artery to the side of the arterial limb of an arteriovenous loop. Second, there is a large proportion of cases where vein grafts were used to elongate the venous pedicle. In these 10 cases, the mean vein graft length was 37 cm. We observed zero flap failures and zero amputations. Although limited in sample size, these case data support the efficacy and reliability of long segment vein grafting in complex cases in referral centers. |
| first_indexed | 2024-03-10T21:41:56Z |
| format | Article |
| id | doaj.art-9f76e16f2c8b4f9db06ed21bdc4ec359 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:41:56Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-9f76e16f2c8b4f9db06ed21bdc4ec3592023-11-19T14:35:38ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011219620910.3390/jcm12196209Reliability of Long Vein Grafts for Reconstruction of Massive WoundsBrian Chuong0Kristopher Katira1Taylor Ramsay2John LoGiudice3Antony Martin4College of Science Main Campus, University of Utah, Salt Lake City, UT 84112, USAIntermountain Healthcare, Salt Lake City, UT 84107, USASalt Lake Community College, Main Campus, Salt Lake City, UT 84123, USADepartment of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USAIntermountain Healthcare, Salt Lake City, UT 84107, USAWhen handling large wounds, zone of injury is a key concept in reconstructive microsurgery, as it pertains to the selection of recipient vessels. Historically, surgeons have avoided placing microvascular anastomosis within widely traumatized, inflamed, or radiated fields. The harvest of vein grafts facilitates reconstruction in complex cases by extending arterial and/or venous pedicle length. To illustrate the utility and fidelity of these techniques, this paper reviews the indications and outcomes for vein grafting in ten consecutive patients at a single tertiary referral center hospital. The case series presented is unique in three aspects. First, there are two cases of successful coaptation of the flap artery to the side of the arterial limb of an arteriovenous loop. Second, there is a large proportion of cases where vein grafts were used to elongate the venous pedicle. In these 10 cases, the mean vein graft length was 37 cm. We observed zero flap failures and zero amputations. Although limited in sample size, these case data support the efficacy and reliability of long segment vein grafting in complex cases in referral centers.https://www.mdpi.com/2077-0383/12/19/6209microsurgeryplastic surgeryfree flap reconstructionAV loopsend-to-side anastomoses |
| spellingShingle | Brian Chuong Kristopher Katira Taylor Ramsay John LoGiudice Antony Martin Reliability of Long Vein Grafts for Reconstruction of Massive Wounds Journal of Clinical Medicine microsurgery plastic surgery free flap reconstruction AV loops end-to-side anastomoses |
| title | Reliability of Long Vein Grafts for Reconstruction of Massive Wounds |
| title_full | Reliability of Long Vein Grafts for Reconstruction of Massive Wounds |
| title_fullStr | Reliability of Long Vein Grafts for Reconstruction of Massive Wounds |
| title_full_unstemmed | Reliability of Long Vein Grafts for Reconstruction of Massive Wounds |
| title_short | Reliability of Long Vein Grafts for Reconstruction of Massive Wounds |
| title_sort | reliability of long vein grafts for reconstruction of massive wounds |
| topic | microsurgery plastic surgery free flap reconstruction AV loops end-to-side anastomoses |
| url | https://www.mdpi.com/2077-0383/12/19/6209 |
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