Vascular pedicle division during free flap re‐inset in pharyngoesophageal reconstruction

Microsurgery ◽  
2020 ◽  
Vol 40 (2) ◽  
pp. 154-159
Author(s):  
Mehmet Emre Yegin ◽  
Shih‐Heng Chen ◽  
Hung‐Chi Chen
Author(s):  
Ahmed Emam ◽  
Giulia Colavitti ◽  
Thomas Chapman ◽  
Thomas Wright ◽  
Umraz Khan
Keyword(s):  

Toukeibu Gan ◽  
2016 ◽  
Vol 42 (1) ◽  
pp. 96-99 ◽  
Author(s):  
Katsuhiro Ishida ◽  
Keita Kishi ◽  
Youjiroh Makino ◽  
Takeshi Miyawaki ◽  
Takanori Hama ◽  
...  

Head & Neck ◽  
2002 ◽  
Vol 24 (11) ◽  
pp. 975-981 ◽  
Author(s):  
Chung-Hwan Baek ◽  
Byung-Sik Kim ◽  
Young-Ik Son ◽  
Bomjoon Ha

2017 ◽  
Vol 33 (08) ◽  
pp. 557-562
Author(s):  
Ji Yim ◽  
Yeon Lee ◽  
Young Kim ◽  
Eun Kim ◽  
Taik Lee ◽  
...  

Background Breast reconstruction using deep inferior epigastric artery perforator (DIEP) free flap is widely used because of the advantages of minimizing donor-site morbidity, but it requires technical competency in vascular dissection. This study evaluated the influence of patient factors and vascular status on the time and speed of dissection of the vascular pedicle. Methods DIEP free flap procedures were performed in 49 patients assigned to immediate or delayed reconstruction groups. Factors that significantly influenced the time required and the speed of dissection were evaluated. Results The average total dissection time was 55.9 minutes (34.5 minutes for the intramuscular dissection and 21.4 minutes for the submuscular dissection). The dissection speed for the total vascular pedicle was 2.65 cm/10 minutes (1.71 cm/10 minutes for the intramuscular dissection and 4.30 cm/10 minutes for the submuscular dissection). The presence of a Pfannenstiel scar, length of the vascular pedicle in the intramuscular area, and the number of microclips used significantly correlated with the total dissection time. Conclusion The length of the intramuscular pedicle, number of microclips used, and presence of a Pfannenstiel scar significantly correlated with the total dissection time of the vascular pedicle. An assessment prior to the surgery can reduce the time of operation and make it easier to elevate the flap.


2001 ◽  
Vol 108 (1) ◽  
pp. 156-161 ◽  
Author(s):  
Samir M. Sukkar ◽  
Joseph A. Daw ◽  
James Chandler ◽  
Gregory A. Dumanian

2012 ◽  
Vol 130 (1) ◽  
pp. 212e-214e ◽  
Author(s):  
Hisakazu Kato ◽  
Keisuke Mizuta ◽  
Nansei Yamada ◽  
Natsuko Ueda ◽  
Yatsuji Ito

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