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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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Autores principales: Chuong, Brian, Katira, Kristopher, Ramsay, Taylor, LoGiudice, John, Martin, Antony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573940/
https://www.ncbi.nlm.nih.gov/pubmed/37834854
http://dx.doi.org/10.3390/jcm12196209
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author Chuong, Brian
Katira, Kristopher
Ramsay, Taylor
LoGiudice, John
Martin, Antony
author_facet Chuong, Brian
Katira, Kristopher
Ramsay, Taylor
LoGiudice, John
Martin, Antony
author_sort Chuong, Brian
collection PubMed
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.
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spelling pubmed-105739402023-10-14 Reliability of Long Vein Grafts for Reconstruction of Massive Wounds Chuong, Brian Katira, Kristopher Ramsay, Taylor LoGiudice, John Martin, Antony J Clin Med Article 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. MDPI 2023-09-26 /pmc/articles/PMC10573940/ /pubmed/37834854 http://dx.doi.org/10.3390/jcm12196209 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chuong, Brian
Katira, Kristopher
Ramsay, Taylor
LoGiudice, John
Martin, Antony
Reliability of Long Vein Grafts for Reconstruction of Massive Wounds
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 Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573940/
https://www.ncbi.nlm.nih.gov/pubmed/37834854
http://dx.doi.org/10.3390/jcm12196209
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