2008年10月
Analysis of 13 Cases with Gastroepiploic Vessels Used as Grafts
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
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- 巻
- 24
- 号
- 7
- 開始ページ
- 515
- 終了ページ
- 518
- 記述言語
- 英語
- 掲載種別
- DOI
- 10.1055/s-0028-1088234
- 出版者・発行元
- THIEME MEDICAL PUBL INC
Free flaps are used increasingly in reconstructive surgery. However, many patients lack a satisfactory recipient vessel near the defect because of radiotherapy, post-traumatic infection, or treatment for recurrent tumor. We usually use a venous graft in such cases, but when both long arterial and venous segments are needed, we use the gastroepiploic vessels because they include extensive, viable arterial and venous segments. Between 1998 and 2006, we used gastroepiploic vessels as grafts in the 13 cases analyzed here. All defects lacked satisfactory recipient vessels nearby. Patients included 10 men and 3 women; mean age was 51.2 years (range, 14 to 82 years). Demographic and clinical background, results, and complications were analyzed retrospectively. Mean length of gastroepiploic vessels was 13.3 cm (range, 10 to 17 cm). All outcomes were satisfactory. A complication, abdominal wound infection secondary to harvesting of the gastroepiploic vessels, occurred in one case. Although the number of gastroepiploic vessels used as grafts analyzed here is relatively small, this experience confirms their clinical usefulness.
- リンク情報
- ID情報
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- DOI : 10.1055/s-0028-1088234
- ISSN : 0743-684X
- Web of Science ID : WOS:000260253700008