International journal of surgery case reports · 2025
Microscopic retrograde great saphenous vein supercharged anastomosis to address propeller flap congestion in lower limb defect reconstruction: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Yavari Ali, Amini Hesam, Akhlaghi Pedram
Аннотация
INTRODUCTION: Reconstructing defects in the lower limb can be challenging when local flaps cannot be used. Free flaps are a good alternative, but they take more time. Free flaps may also fail in inflamed areas because veins can be damaged by inflammation.
CASE PRESENTATION: We report a 35-year-old man with a severe leg and ankle injury. We treated his defect with a propeller flap that included the great saphenous vein, clipped at its proximal end. After moving the flap over the wound, the clipped end of the saphenous vein was directed toward the ankle. We then connected this clipped end to a deep vein in the ankle by a retrograde end-to-end anastomosis. This was done to prevent venous congestion and improve venous drainage.
DISCUSSION: Propeller flaps based on perforator vessels can substitute for free flaps when other local flaps are unavailable. However, propeller flaps often have venous congestion as a complication. Performing a venous supercharging anastomosis, even in a retrograde manner, can help reduce this congestion.
CONCLUSION: Propeller flaps are an excellent option for lower limb reconstruction. A microscopic retrograde anastomosis of the great saphenous vein can effectively prevent venous congestion.
CASE PRESENTATION: We report a 35-year-old man with a severe leg and ankle injury. We treated his defect with a propeller flap that included the great saphenous vein, clipped at its proximal end. After moving the flap over the wound, the clipped end of the saphenous vein was directed toward the ankle. We then connected this clipped end to a deep vein in the ankle by a retrograde end-to-end anastomosis. This was done to prevent venous congestion and improve venous drainage.
DISCUSSION: Propeller flaps based on perforator vessels can substitute for free flaps when other local flaps are unavailable. However, propeller flaps often have venous congestion as a complication. Performing a venous supercharging anastomosis, even in a retrograde manner, can help reduce this congestion.
CONCLUSION: Propeller flaps are an excellent option for lower limb reconstruction. A microscopic retrograde anastomosis of the great saphenous vein can effectively prevent venous congestion.