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摘要:
Introduction: Single or double venous anastomosis in free flap in general and ALT, in particular, is still a matter of debate between micro vascular surgeons. In this study, we will present our experience in single vein anastomosis versus double venous anastomosis in ALT perforator flap used in leg and foot reconstruction as regarding flap outcome, complications, operation time and the need for re-exploration. Patient and Methods: We retrospectively evaluate 60 patients with post traumatic foot and leg defects in the period between January 2014 and January 2018 where free ALT flap was done. The patients were divided into two groups, Group 1 where single vein anastomosis was done and Group 2 where double venous anastomosis was done;we utilize the deep venous system for the anastomosis in all cases. Results: Complete flap survival noticed in 56 cases (93.3%), defect size ranged from 70 to 200 cm (mean 126.35 ± 33.78). There was no difference between the 2 groups as regarding Flap survival, hospital stay, flap complications, donner site morbidity and vascular insufficiency. There is statistically significant difference between both groups as regarding Ischemia time, Operation time, and overall re-exploration rate. Conclusions: Our study suggests that the use of a single venous anastomosis in the venous drainage of anterolateral thigh free flaps is as safe and feasible as the two veins anastomoses.
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篇名 Safety of Single Vein Anastomosis versus Double Venous Anastomosis in ALT Perforator Flap in Foot and Leg Reconstruction
来源期刊 现代整形外科(英文) 学科 医学
关键词 SINGLE VEIN PERFORATOR Flap FOOT RECONSTRUCTION
年,卷(期) 2019,(4) 所属期刊栏目
研究方向 页码范围 65-73
页数 9页 分类号 R73
字数 语种
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研究主题发展历程
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SINGLE
VEIN
PERFORATOR
Flap
FOOT
RECONSTRUCTION
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研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
现代整形外科(英文)
季刊
2164-5213
武汉市江夏区汤逊湖北路38号光谷总部空间
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116
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0
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