Venous drainage of delayed distally-based sural flap: Evaluation by duplex scanning

Fujiwara, Masao; Suzuki, Azusa; Nagata, T.; Mizukami, Takahide; Terai, Tsutomu; Fukamizu, Hidekazu

doi:10.1016/j.bjps.2010.05.039

Cited by 4 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The temporary venous supercharging of our modified method is not associated with disadvantages such as intensive nursing care and blood loss; however, a simple procedure to ligate the SSV must be added. The delay procedure for the distally based sural flap is effective, but an additional operation is required …”

Section: Discussionmentioning

confidence: 99%

“…A disadvantage of this method is that exploration of the perforators may not be easy or quick . The flap is traditionally harvested by the retrograde method, elevating the flap in a superior‐to‐inferior fashion after incising the upper and bilateral boundaries of the flap, without exploration of the perforators . The retrograde method has the advantages of easy and quick elevation of the flap .…”

Section: Discussionmentioning

confidence: 99%

“…However, free flaps have some disadvantages, such as the need for a microsurgery team, long operation times, and difficulty identifying the appropriate vessels . The distally based sural flap is a good alternative to free flaps and has become popular in foot and ankle reconstruction . This flap does not have the disadvantages described above…”

mentioning

confidence: 99%

“…Several modifications of the distally based sural flap, such as supercharging, interpolation, and phlebotomy, have been proposed to improve flap survival . As one of these modifications, we recently reported the delayed distally based sural flap . Since our previous reports, we have encountered a patient who experienced severe venous congestion associated with the delayed distally based sural flap.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Delayed distally based sural flap with temporary venous supercharging

et al. 2013

Self Cite

View full text Add to dashboard Cite

The distally based sural flap has become popular for reconstruction of the foot and leg. However, this flap often fails due to venous congestion. In this report, we developed a new modification of the distally based sural flap. The procedure comprised three stages. In the first stage, the flap was raised cephalad to the midpoint of the posterior aspect of the leg, involving reanastomosis of the short saphenous vein (SSV) at the proximal end of the flap. In the second stage, ligature of the SSV was performed. In the third stage, the entire flap was raised. We treated eight patients with the flap. All flaps survived completely. Duplex scanning indicated that venous drainage of the flap was provided by the tenuous venae comitantes (VCs) surrounding the SSV. Reanastomosis of the SSV may prevent rapid venous overloading of the VCs. Our new modification may be useful to avoid venous congestion.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Delayed distally based sural flap with temporary venous supercharging

et al. 2013

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition, an expanded flap may be considered for alternative delay procedures 12. We previously used delay of incisions on three sides in the forehead and lower leg regions,13–16 because we, as well as Tosun et al,6 consider that delay of incisions on three sides is effective to prevent critical congestion. In this case, delay of incisions on three sides was performed, although the blood flow to the most inferomedial part was likely to be tenuous, and critical congestion was successfully avoided.…”

Section: Discussionmentioning

confidence: 99%

Free hemiback flap with surgical delay for reconstruction of extensive soft tissue defect: A case report

2012

Self Cite

View full text Add to dashboard Cite

A delay procedure allows for reliable tissue transfer in random pattern flaps and axial pattern flaps. However, delay procedures have not been studied in free flaps. In this report, we present a case involving the use of a free extended latissimus dorsi musculocutaneous flap (hemiback flap) that included half of the total back skin and was based on thoracodorsal vessels for reconstruction of an extensive soft tissue defect of the flank and waist. The flap was tailored in combination with a delay procedure. Intraoperative indocyanine green fluorescence angiography indicated profuse perfusion except for the most inferomedial part of the flap, which was discarded. The flap survived. A free hemiback flap may offer a valuable option for reconstruction of extensive soft tissue defects. To our knowledge, this is the first report to demonstrate a free flap made in combination with a delay procedure.

show abstract

Hemodynamics in Distally Based Sural Flaps for Lower Leg Reconstruction: A Literature Review

Türker

Hines

Haddad

2023

Journal of Hand and Microsurgery

View full text Add to dashboard Cite

Coverage of posttraumatic and chronic wounds at the distal leg is a difficult problem due to limited soft tissue available for local flaps. The sural flap is a versatile and effective method for reconstruction in this area since it does not need a significant amount of time or assistance to complete. Improving the survival of these flaps is critically dependent on understanding the basics of flap circulation and why recent modifications were introduced. This review will serve as a much-needed comprehensive analysis of these topics for surgeons looking to increase the reliability of their sural flaps.

show abstract

Venous drainage of delayed distally-based sural flap: Evaluation by duplex scanning

Cited by 4 publications

References 4 publications

Delayed distally based sural flap with temporary venous supercharging

Delayed distally based sural flap with temporary venous supercharging

Free hemiback flap with surgical delay for reconstruction of extensive soft tissue defect: A case report

Hemodynamics in Distally Based Sural Flaps for Lower Leg Reconstruction: A Literature Review

Contact Info

Product

Resources

About