Limits...
Vein/Arterial Grafts Harvested within the Incision for a Free Groin Flap.

Matsuda K, Tomita K, Fukai M, Kubo T, Hayashi A, Shibata M, Hosokawa K - Plast Reconstr Surg Glob Open (2015)

Bottom Line: The free groin flap results in less donor-site morbidity than other skin flaps and is suitable for use in children and adolescents.To overcome this limitation, we harvested vein and arterial grafts from the flap elevation area without placing additional skin incisions.This procedure may expand the indications for free groin flap transfer.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Niigata University Graduate School of Medicine, Niigata, Japan; Department of Plastic and Reconstructive Surgery, Osaka University Graduate School of Medicine, Osaka, Japan; and Department of Plastic and Reconstructive Surgery, Toho University Sakura Medical Center, Chiba, Japan.

ABSTRACT
The free groin flap results in less donor-site morbidity than other skin flaps and is suitable for use in children and adolescents. However, the vascular pedicle is relatively short and vessel diameter is small, which makes vascular anastomosis technically difficult. To overcome this limitation, we harvested vein and arterial grafts from the flap elevation area without placing additional skin incisions. Use of short (2-3 cm) vein/arterial grafts greatly simplified flap insetting and vascular anastomosis. This procedure may expand the indications for free groin flap transfer.

No MeSH data available.


Related in: MedlinePlus

Schematic diagram of vein/arterial graft harvest. Soft tissue in the shaded area is harvested as a free groin flap. Branches of the GSV and/or SIEA are utilized. Flap insetting and vascular anastomosis are much easier with this procedure.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4494477&req=5

Figure 1: Schematic diagram of vein/arterial graft harvest. Soft tissue in the shaded area is harvested as a free groin flap. Branches of the GSV and/or SIEA are utilized. Flap insetting and vascular anastomosis are much easier with this procedure.

Mentions: After groin flap elevation and harvest, the vessels suitable for grafting are dissected out from within the flap dissection area. Usually, the branches of the great saphenous vein (GSV) or superficial inferior epigastric artery (SIEA) are harvested for this purpose (Fig. 1). Because the SIEA often lacks the appropriate diameter and length, the branches of the GSV are dissected first. Usually, the diameter of these vessels is similar to that of the vascular pedicle of the free groin flap. After elongating the vascular pedicle of the flap with the graft, vascular anastomosis with recipient vessels is performed.


Vein/Arterial Grafts Harvested within the Incision for a Free Groin Flap.

Matsuda K, Tomita K, Fukai M, Kubo T, Hayashi A, Shibata M, Hosokawa K - Plast Reconstr Surg Glob Open (2015)

Schematic diagram of vein/arterial graft harvest. Soft tissue in the shaded area is harvested as a free groin flap. Branches of the GSV and/or SIEA are utilized. Flap insetting and vascular anastomosis are much easier with this procedure.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4494477&req=5

Figure 1: Schematic diagram of vein/arterial graft harvest. Soft tissue in the shaded area is harvested as a free groin flap. Branches of the GSV and/or SIEA are utilized. Flap insetting and vascular anastomosis are much easier with this procedure.
Mentions: After groin flap elevation and harvest, the vessels suitable for grafting are dissected out from within the flap dissection area. Usually, the branches of the great saphenous vein (GSV) or superficial inferior epigastric artery (SIEA) are harvested for this purpose (Fig. 1). Because the SIEA often lacks the appropriate diameter and length, the branches of the GSV are dissected first. Usually, the diameter of these vessels is similar to that of the vascular pedicle of the free groin flap. After elongating the vascular pedicle of the flap with the graft, vascular anastomosis with recipient vessels is performed.

Bottom Line: The free groin flap results in less donor-site morbidity than other skin flaps and is suitable for use in children and adolescents.To overcome this limitation, we harvested vein and arterial grafts from the flap elevation area without placing additional skin incisions.This procedure may expand the indications for free groin flap transfer.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Niigata University Graduate School of Medicine, Niigata, Japan; Department of Plastic and Reconstructive Surgery, Osaka University Graduate School of Medicine, Osaka, Japan; and Department of Plastic and Reconstructive Surgery, Toho University Sakura Medical Center, Chiba, Japan.

ABSTRACT
The free groin flap results in less donor-site morbidity than other skin flaps and is suitable for use in children and adolescents. However, the vascular pedicle is relatively short and vessel diameter is small, which makes vascular anastomosis technically difficult. To overcome this limitation, we harvested vein and arterial grafts from the flap elevation area without placing additional skin incisions. Use of short (2-3 cm) vein/arterial grafts greatly simplified flap insetting and vascular anastomosis. This procedure may expand the indications for free groin flap transfer.

No MeSH data available.


Related in: MedlinePlus