Salvage of Flaps With Venous Congestion

Akan, Ismaíl Míthat; Yıldırım, Serkan; Gideroğlu, Kaan

doi:10.1097/00000637-200104000-00022

Cited by 15 publications

(10 citation statements)

References 3 publications

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“…Venous congestion can be subdivided to total or partial blockage. The initial treatment of partial venous congestion includes medicinal or chemical leaching, however total blockage requires thromboembolectomy or venous re-anastomosis of the flap [11]. In our case, the initial problem was the venous congestion of the LD flap.…”

Section: Discussionmentioning

confidence: 80%

A Case Report of VAC Dressing System Applied over a Lattisimus Dorsi(LD) Flap Reconstruction for a Crush Injury on the Lower Extremities: Indications, Technical Aspects and Outcomes

Sapountzis¹,

Karamitros²,

Goulios³

et al. 2018

International Journal of Orthoplastic Surgery

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Section: Discussionmentioning

confidence: 80%

A Case Report of VAC Dressing System Applied over a Lattisimus Dorsi(LD) Flap Reconstruction for a Crush Injury on the Lower Extremities: Indications, Technical Aspects and Outcomes

Sapountzis¹,

Karamitros²,

Goulios³

et al. 2018

International Journal of Orthoplastic Surgery

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“…Today, many methods such as conventional leech therapy,9, 10 taking a piece of skin and applying heparin soaked gauzes,11 and local heparin irrigation after making small incisions12 are used. Eker et al used venal branule for venous congestion that occurred in saphenous neurocutaneous flaps and reported successful results 21.…”

Section: Discussionmentioning

confidence: 99%

“…In plastic and reconstructive surgery, MLT has proven to be useful for treating venous congestion 10. Besides MLT, other bloodletting techniques such as taking a piece of skin and making a small incision on the flap have also been used 11, 12…”

mentioning

confidence: 99%

Comparisons of medicinal leech therapy with venous catheterization in the treatment of venous congestion of the sural flap

et al. 2010

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“…Furthermore, diffuse bleeding from the flap may be used to relieve congestion in the presence of a venous problem. 13 Various methods have been proposed for the management of split-thickness skin graft donor sites, but a consensus has not yet been formed. The purpose of all of the methods is to achieve rapid and smooth healing of the wound with minimal donor-site pain and nursing care.…”

Section: Donor-site Discomfortmentioning

confidence: 99%

“…12,13 Possible disadvantages are pig- Cultured autologous keratinocytes ϩ allogeneic dermis Cellular artificial skin Cultured composite skin grafts mentation changes, hypertrophic scarring, and keloid formation. Because the grafts taken were thin split-thickness, these complications were not seen in our patients.…”

Section: Donor-site Discomfortmentioning

confidence: 99%

An Alternative Method to Minimize Pain in the Split-Thickness Skin Graft Donor Site

Akan

Yıldırım

Misirlioğlu

et al. 2003

Plastic and Reconstructive Surgery

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In the art of plastic surgery, the reconstruction of tissue defects to obtain cosmetic and functional recovery is the major concern. Skin grafting is the most frequently used procedure for reconstructing defects of various size and anatomical localizations. On the other hand, donor-site problems associated with this invaluable procedure are inevitable. Various methods are used in the postoperative management of the partial-thickness donor site created during the harvest of a split-thickness skin graft. Each technique has the potential for complications of fluid loss, excessive pain, prolonged period of healing and immobilization, hypertrophic scarring, and undesirable pigmentation. Donor-site pain is probably the most disturbing complication in the early postoperative period. The aim of this article is to point out the significance of donor-site pain, which has not been emphasized thoroughly in the literature, and to introduce flap skin as a potential graft donor site for patients in whom reduction of donor-site morbidity is of primary concern. The principal goal of the technique described in this article is to eliminate donor-site pain by harvesting the graft from the flap that is insensate after the elevation. In 15 patients, the overlying skin of the flap that had been used for reconstructive purposes was used as the donor site (group I). In the remaining 23 patients, the posterolateral thigh was used as the donor site (group II). Donor-site discomfort was recorded during the first 8 days postoperatively using a visual analogue scale. To analyze the data, we used the Friedman test, Dunn's multiple comparison test, and Mann-Whitney U test. It was observed that the visual analogue scale of both of the groups showed a significant decrease within days (group I, p < 0.0001; group II, p < 0.0001). The mean pain scores were significantly lower in group I than in group II (p < 0.0001). When donor-site pain is of primary concern, this procedure provides uneventful and comfortable healing while avoiding postoperative pain in the donor site. For that reason, this technique might be used in appropriate cases to minimize donor-site pain.

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Salvage of Flaps With Venous Congestion

Cited by 15 publications

References 3 publications

A Case Report of VAC Dressing System Applied over a Lattisimus Dorsi(LD) Flap Reconstruction for a Crush Injury on the Lower Extremities: Indications, Technical Aspects and Outcomes

A Case Report of VAC Dressing System Applied over a Lattisimus Dorsi(LD) Flap Reconstruction for a Crush Injury on the Lower Extremities: Indications, Technical Aspects and Outcomes

Comparisons of medicinal leech therapy with venous catheterization in the treatment of venous congestion of the sural flap

An Alternative Method to Minimize Pain in the Split-Thickness Skin Graft Donor Site

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