A reliable and aesthetic technique for cephalic vein harvest in DIEP flap surgery.
A reliable and aesthetic technique for cephalic vein harvest in DIEP flap surgery.
复制标题
DIEP 皮瓣手术中采集头静脉的可靠且美观的技术。
DOI：
10.1055/s-0029-1215524
复制
发表时间：
2009
影响因子：
2.1
通讯作者：
R. Acosta
中科院分区：
文献类型：
--
作者：
T. Audolfsson;W. Rozen;M. Wagstaff;I. Whitaker;R. Acosta
腹壁下动脉穿支皮瓣通常需要第二个静脉引流源，头静脉通常用作替代静脉受体血管。在使用头静脉时，以前的研究已经描述了胸三角沟或锁骨下窝作为采集部位。我们描述了腋前皮肤皱褶的使用，它可以改善美学效果，减少采集所需的时间，使更长的静脉能够转位，并最大限度地减少对上乳房/胸壁的手术损伤。前腋线皮肤褶皱可以用作头静脉采集的部位，并且使用所述方法，该技术可以快速且高度可靠，并且导致几乎不可见的最终疤痕。
The need for a secondary source of venous drainage in deep inferior epigastric artery perforator flaps is common, with the cephalic vein commonly utilized as an alternative venous recipient vessel. In using the cephalic vein, previous studies have described the deltopectoral groove or the infraclavicular fossa as the site for harvest. We describe the use of an anterior axillary skin crease, which can improve aesthetic outcome, reduce the time needed for harvest, enable a greater length of vein to be transposed, and minimize surgical insult to the upper breast/chest wall. An anterior axillary-line skin fold can be used as the site for cephalic vein harvest, and using the methodology described, the technique can be fast and highly reliable and result in a final scar that is barely visible.