SHORT SAPHENOUS VEIN GRAFTS AS AN AID TO MICROSURGICAL RECONSTRUCTION OF THE LOWER EXTREMITY
SHORT SAPHENOUS VEIN GRAFTS AS AN AID TO MICROSURGICAL RECONSTRUCTION OF THE LOWER EXTREMITY
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DOI：
10.1055/s-2007-1006913
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发表时间：
1988-01-01
影响因子：
2.1
通讯作者：
EARLE A S
中科院分区：
文献类型：
--
作者：
VLASTOU C;EARLE A S
作者提出了一种当下肢没有局部血管时使用短隐静脉进行游离皮瓣重建的方法。最初，创建临时动静脉瘘。随后将其分开，为皮瓣提供动脉通路和静脉引流。使用短隐静脉有很多优点：1）长度可以达到40至50厘米； 2) 静脉壁相对较薄，并且在其整个长度上具有几乎恒定的直径； 3) 某些患者的静脉上端可能留在原处； 4) 静脉汇入长隐静脉和腘静脉。因此，提供了双重排水。这对于继发于深静脉血栓形成或阻塞的流出受损的患者可能很重要。 5) 分离的静脉移植组件可以对动脉和静脉循环进行精确的超声监测。七例 IIIb 型和 IIIc 型胫骨骨折，其中区域血管无法进入。使用原位短隐静脉移植物进行的游离皮瓣重建在所有七名患者中均获得成功。考虑短隐静脉的解剖结构和手术技术。
The authors present a method of free flap reconstruction using the short saphenous vein, when local vessels are not available in the lower extremity. Initially, a temporary arteriovenous fistula is created. This is subsequently divided to provide both arterial access and venous drainage for the flap. The use of the short saphenous vein has a number of advantages: 1) forty to 50 cm of length are available; 2) the vein is relatively thin-walled and has a nearly constant diameter throughout its length; 3) the vein may be left in situ at its upper end in some patients; 4) the vein drains into both the long saphenous and the popliteal veins. Thus, double drainage is provided. This may be of importance in patients with impaired outflow secondary to deep venous thrombosis or obstruction. 5) The separated vein graft components allow accurate ultrasonic monitoring of both arterial and venous circulation. Seven cases are presented of type Illb and IIIc tibial fractures in which regional vessels were not accessible. Free flap reconstruction using in situ short saphenous vein grafts was successful in all seven patients. The anatomy of the short saphenous vein and surgical technique are considered.