Dual vascular pedicles to ensure free jejunum flap survival in post-radiotherapeutic esophageal reconstruction

Microsurgery ◽  
2017 ◽  
Vol 37 (6) ◽  
pp. 731-732
Author(s):  
Tony C.T. Huang ◽  
Pedro Ciudad ◽  
Mouchammed Agko ◽  
Oscar Manrique ◽  
Hung-Chi Chen
Keyword(s):  
Esophageal Reconstruction ◽  
Flap Survival ◽  
Free Jejunum Flap

Improved Skin Flap Survival After Local Heat Preconditioning in Pigs

2007 ◽  
Vol 2007 ◽  
pp. 267-268
Author(s):  
W.L. Garner
Keyword(s):  
Skin Flap ◽  
Local Heat ◽  
Flap Survival ◽  
Skin Flap Survival

A Case of Multiple Polyps Originating in a Skin Tube for Esophageal Reconstruction.

1994 ◽  
Vol 45 (4) ◽  
pp. 334-337
Author(s):  
Nobuhiko Nishino ◽  
Katsunori Aoki ◽  
Hiroyuki Konno ◽  
Yuji Maruo ◽  
Tatsuo Tanaka ◽  
...  
Keyword(s):  
Esophageal Reconstruction ◽  
Skin Tube

SIMULTANEOUS ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION AS A METHOD OF SURGICAL TREATMENT OF GASTROESOPHAGEAL CANCER WITH HIGH INVOLVEMENT OF THE ESOPHAGUS

2017 ◽  
Vol 63 (1) ◽  
pp. 146-152
Author(s):  
Mikhail Ter-ovanesov ◽  
Aleksandr Levitskiy ◽  
E. Lesnidze ◽  
Aram Gaboyan ◽  
Mariya Kukosh ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Esophageal Reconstruction ◽  
Gastroesophageal Cancer ◽  
Colonic Interposition ◽  
Simultaneous Application ◽  
High Involvement ◽  
Surgical Access ◽  
Critical Overview

In the current oncological practice surgical treatment of gastroesophageal cancer with high involvement of the esophagus can extend to total esophago-gastrectomy with colonic interposition as the main method of radical treatment. However the technical complexity and high risk of the intervention are factors in determining the divergent views on the operation itself, testimony for the criteria of patient’s selection, choice of surgical access and the formation of a colonic graft in conjunction with method of esophageal reconstruction. The long-term results of operative intervention depend primarily on the extent of tumor process but obviously higher than after conservative treatment. This article presents a brief critical overview of the main aspects of the simultaneous application of esophago-gastrectomy in surgery of gastroesophageal cancer with high esophageal involvement and our clinical case of successful surgical treatment of a woman with pregnancy-associated gastroesophageal cancer.

Chemically Modified SDF-1α mRNA Promotes Random Flap Survival by Activating the SDF-1α/CXCR4 Axis in Rats

2019 ◽  
Author(s):  
Zucheng Luo ◽  
Yujie Bian ◽  
Gang Zheng ◽  
Hui Jing Wang ◽  
Bingqian Yan ◽  
...  
Keyword(s):  
Flap Survival ◽  
Chemically Modified ◽  
Cxcr4 Axis

scholarly journals Survival of a Free Jejunal Flap with Early Venous Obstruction

2021 ◽  
Vol 7 ◽  
pp. 2513826X2110224
Author(s):  
Ryo Yamochi ◽  
Toshiaki Numajiri ◽  
Syoko Tsujiko ◽  
Hiroko Nakamura ◽  
Daiki Morita ◽  
...  
Keyword(s):  
Head And Neck ◽  
Oral Intake ◽  
Superior Thyroid Artery ◽  
Head And Neck Reconstruction ◽  
Venous Obstruction ◽  
Flap Survival ◽  
Flap Transfer ◽  
Neck Reconstruction ◽  
Free Jejunal Flap ◽  
Vascular Status

Free jejunal flap transfer is common in head and neck reconstruction, but necrosis remains a complication. A 77-year-old man underwent total pharyngo-laryngo-esophagectomy, bilateral neck dissection, and free jejunal flap transfer. We anastomosed 3 arteries (facial, transverse cervical, and superior thyroid) and 1 vein (jejunal) because the recipient site’s arterial status was poor. On day 2, ultrasonography and visualization revealed that the anastomosed vein was obstructed in the cranial jejunum but the remainder was viable. The region recovered by day 7 and the patient began oral intake on day 30. Ultrasonography revealed that the anastomosed jejunal vein showed no waveform, the facial and transverse cervical arteries showed arterial waveforms, and the superior thyroid artery showed a retrograde venous waveform. The flap had survived because the blood exited through the superior thyroid artery and vein. Thus, additional vascular and arterial anastomoses are options for free flap survival if the vascular status is poor.

scholarly journals Effect of hirudin on arterialized venous flap survival in rabbits

2021 ◽  
Vol 142 ◽  
pp. 111981
Author(s):  
Junling Liu ◽  
Baoxia Chen ◽  
Bin Zhao ◽  
Xiaobin Luo ◽  
Jiafeng Li ◽  
...  
Keyword(s):  
Flap Survival ◽  
Venous Flap

Salvage of Total Esophageal Reconstruction with Microvascular Free Left Colon Flap

2002 ◽  
Vol 18 (4) ◽  
pp. 261-262 ◽  
Author(s):  
Chris D. Tzarnas ◽  
William S. Wittenborn ◽  
Joseph D. Whitlark ◽  
William H. Ayers
Keyword(s):  
Left Colon ◽  
Esophageal Reconstruction ◽  
Free Left

Evaluation of bone length and number of osteotomies utilizing the osteocutaneous radial forearm free flap for mandible reconstruction: An 8-year review of complications and flap survival

Head & Neck ◽  
2015 ◽  
Vol 38 (3) ◽  
pp. 434-438 ◽  
Author(s):  
Dustin A. Silverman ◽  
Wojciech H. Przylecki ◽  
Jill M. Arganbright ◽  
Yelizaveta Shnayder ◽  
Kiran Kakarala ◽  
...  
Keyword(s):  
Free Flap ◽  
Radial Forearm Free Flap ◽  
Mandible Reconstruction ◽  
Flap Survival ◽  
Bone Length ◽  
Radial Forearm

Reconstruction of the hypopharynx after free jejunum flap failure: Is a second free jejunum transfer feasible?

Oral Oncology ◽  
2008 ◽  
Vol 44 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Giulia Bertino ◽  
Marco Benazzo ◽  
Antonio Occhini ◽  
Patrizia Gatti ◽  
Roberto Spasiano ◽  
...  
Keyword(s):  
Flap Failure ◽  
Free Jejunum Flap

scholarly journals Outcome Analysis of End-to-End and End-to-Side Anastomoses in 131 Patients Undergoing Microsurgical Free Flap Reconstruction of the Lower Extremity

2016 ◽  
Vol 02 (01) ◽  
pp. e7-e14
Author(s):  
Sören Könneker ◽  
G.F. Broelsch ◽  
J.W. Kuhbier ◽  
T. Framke ◽  
N. Neubert ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Statistical Significance ◽  
Group Versus ◽  
Outcome Analysis ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Flap Survival ◽  
Anastomotic Technique ◽  
End To End

Background End-to-end and end-to-side anastomoses remain the most common techniques in microsurgical free flap reconstruction. Still, there is an ongoing effort to optimize established techniques and develop novel techniques. Numerous comparative studies have investigated flow dynamics and patency rates of microvascular anastomoses and their impact on flap survival. In contrast, few studies have investigated whether the type of anastomosis influences the outcome of microvascular free flap reconstruction of a lower extremity. Patients and Methods Retrospectively, we investigated the outcome of 131 consecutive free flaps for lower extremity reconstruction related to the anastomotic technique. Results No statistical significance between arterial or venous anastomoses were found regarding the anastomotic techniques (p = 0.5470). However, evaluated separately by vessel type, a trend toward statistical significance for anastomotic technique was observed in the arterial (p = 0.0690) and venous (p = 0.1700) vessels. No thromboses were found in arterial end-to-end anastomoses and venous end-to-side anastomoses. More venous (n = 18) than arterial thromboses (n = 9) occurred in primary anastomoses undergoing microsurgical free flap reconstruction (p = 0.0098). Flap survival rate was 97.37% in the end-to-end arterial group versus 86.36% in the end-to-side group. No thromboses were found in five arterial anastomoses using T-patch technique. Conclusion For lower extremities, there is a connate higher risk for venous thrombosis in anastomotic regions compared with arterial thrombosis. We observed divergent rates for thromboses between end-to-end and end-to-side anastomoses.However, if thrombotic events are explained by anastomotic technique and vessel type, the latter carries more importance.

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