''Extracorporeal Loop'' (Blind Loop): An Alternative Microsurgical Technique for Prelaminated Flap Transfer

Abstract

Free tissue transfer is frequently used for reconstruction in the head and neck region. In patients who suffer tissue loss due to a high-energy trauma, the reconstructive surgeon is often faced with a large gap between the defect and the site of anastomosis outside the zone of injury. Utilization of long vein grafts for reestablishment of blood flow to the transferred tissue vessels is a common procedure. Arteriovenous fistula (AVF) formation on the side table is an alternative solution. In this paper, an "extracorporeal loop" (blind loop) technique is presented as an alternative microsurgical method for prelaminated flap transfer to two different traumatic recipient areas in the face (nose and ear).

Effects of Flow Patterns and Hemodynamic Force on Vascular Endothelium in the Temporary Arteriovenous Shunt Loop in Rabbits

“…Since there is a risk of shear stress-induced thrombus formation in a TAVSL in both one-staged and two-staged procedures, it should be carefully used in clinical practice with systemic anticoagulation. Conventional vein grafting or the blind loop method 2,29,30 reported by Acland is recommended. The use of an arteriovenous vascular bundle may be another choice.…”

General Principles and Analysis of Defects in Head and Neck Reconstruction

“…In more severe situations, creation of an arteriovenous loop is necessary which can then be used for inflow and outflow of the flap. 70…”

“Tamai I or pulp replantation of efferent drainage with extracorporeal loop: an old dog learns more than a new trick”

“…We propose an extracorporeal loop technique to optimize the vascular grafting operative procedure. 3 The closed extracorporeal venous loop is established by anastomosis by using a 10-0 Prolene suture between venous graft and bilateral arteries (Fig. 1) or its dominant branch in the amputation (Fig.…”

“…1,2 Besides loss of trapezial space height, thumb height can also be affected by a decrease in first metacarpal height after partial resection of the base of the first metacarpal, as described in several thumb base arthroplasties. 3 Current methods do not correct for the differences in height of the first metacarpal before and after surgery. This may result in an underestimation of the loss of thumb height and makes comparison between surgical techniques with and without first metacarpal base resection impossible.…”

“…We propose an extracorporeal loop technique to optimize the vascular grafting operative procedure. 3…”