Blood supply of the subcutaneous tissue of the upper limb and its importance in the subcutaneous flap

1987 ◽  
Vol 12 (2) ◽  
pp. 189-193 ◽  
Author(s):  
A ZBRODOWSKI ◽  
F MARTY ◽  
R GUMENER ◽  
D MONTANDON
Keyword(s):  
Blood Supply ◽  
Upper Limb ◽  
Subcutaneous Tissue ◽  
Subcutaneous Flap

Blood Supply of the Subcutaneous Tissue of the Upper Limb and its Importance in the Subcutaneous Flap

1987 ◽  
Vol 12 (2) ◽  
pp. 189-193
Author(s):  
A. ZBRODOWSKI ◽  
F. M. MARTY ◽  
R. GÜMENER ◽  
D. MONTANDON
Keyword(s):  
Soft Tissue ◽  
Blood Supply ◽  
Upper Limb ◽  
Subcutaneous Tissue ◽  
Practical Importance ◽  
Soft Tissue Defects ◽  
India Ink ◽  
Subcutaneous Flap ◽  
Tissue Defects ◽  
Gelatine Solution

Vascularization of the subcutaneous tissue of the upper extremity is described. Injection of coloured latex or India ink and gelatine solution showed the principal sources of the blood supply. Microdissection and transclarification of Spalteholz allowed for the study of the direct and indirect arterial branches which form the principal network of the subcutaneous tissue. The findings are of practical importance since the subcutaneous tissue can be used as a separate flap for covering soft tissue defects of the forearm and hand.

NECROTISING SOFT TISSUE INFECTION OF BILATERAL UPPER LIMB CAUSED BY THE INJECTION OF ORAL BACTERIA: A CASE REPORT

Hand Surgery ◽  
2013 ◽  
Vol 18 (02) ◽  
pp. 243-246 ◽  
Author(s):  
Yuichi Yoshii ◽  
Tomoo Ishii ◽  
Shinsuke Sakai
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Soft Tissue Infection ◽  
Soft Tissues ◽  
Biceps Brachii ◽  
Subcutaneous Tissue ◽  
Oral Bacteria ◽  
Tissue Infection ◽  
Left Elbow ◽  
The Right

Necrotising soft tissue infection is a rare and rapid process with devastating consequence. We report one case of necrotising soft tissue infection in a bilateral upper limb with uncommon oral bacteria. Radiological imaging revealed the presence of gas in upper limb soft tissues, and an MRI showed the localised signal changes in the biceps muscle of the right upper arm, and the subcutaneous tissue of the left elbow. The patient was treated with surgical resection of the infected muscle and wide debridement of the subcutaneous tissue. Antibiotics were initiated. The patient recovered immediately without functional deficit. The unique features of this patient were possible to observe in the progression of the necrotising soft tissue infection in the bilateral upper limb with intentional injection of oral bacteria, and the effect of biceps brachii resection in a prime age worker.

A Variation In The Origin And Course Of The Posterior Circumflex Humeral Artery And The Deep Brachial Artery: Clinical Importance Of The Variation

2015 ◽  
Vol 8 (2) ◽  
pp. 164-167
Author(s):  
Alexandar A. Iliev ◽  
Lazar G. Mitrov ◽  
Georgi P. Georgiev
Keyword(s):  
Blood Supply ◽  
Upper Limb ◽  
Brachial Artery ◽  
Clinical Relevance ◽  
Clinical Importance ◽  
Deltoid Muscle ◽  
Axillary Nerve ◽  
Anatomical Dissection ◽  
Teres Major ◽  
Posterior Circumflex Humeral Artery

Summary A case of an unusual variation of the blood supply of an upper limb is presented. During a routine anatomical dissection, it was found that the posterior circumflex humeral artery had an unusual course and branching. It arose as a branch of the brachial artery, not the axillary one, and it did not accompany the axillary nerve. It ran under the lower border of the teres major muscle instead of passing through the lateral axillary foramen, then followed its usual course around the surgical neck of the humerus, supplying the deltoid muscle. It was also found that instead of arising from the brachial artery, the deep brachial artery arose from the posterior circumflex humeral artery. Variations are reported and their clinical relevance is discussed.

Blood supply of subcutaneous tissue in the leg and its clinical application

1995 ◽  
Vol 8 (3) ◽  
pp. 202-207 ◽  
Author(s):  
Andrzej Zbrodowski ◽  
Stanislav Gajisin ◽  
Marek Bednarkiewicz ◽  
Rapha�ul Gumener ◽  
Denys Montandon
Keyword(s):  
Clinical Application ◽  
Blood Supply ◽  
Subcutaneous Tissue

Skin flaps

2021 ◽  
pp. 39-50
Author(s):  
Donald Dewar
Keyword(s):  
Blood Supply ◽  
Subcutaneous Tissue ◽  
Skin Flap ◽  
Donor Site ◽  
Pedicled Flap ◽  
Local Flaps ◽  
Skin Flaps ◽  
Local Skin ◽  
Recipient Vessel ◽  
Composite Defect

Flaps can reconstruct defects of the integument, resurface mucosal defects, as well as contribute to contour. They are used where grafting is not feasible because of the nature of the defect and/or where the aims of reconstruction would be better served by vascularized tissue with both cutaneous and subcutaneous components. A skin flap can also be combined with fascia, muscle, or bone to reconstruct a complex or composite defect, and to provide tissue to restore function. Flaps may be classified according to the origin of the flap: local skin flaps are raised from tissue adjacent to the defect (usually deriving their blood supply from the subcutaneous tissue and subdermal plexus), and distant flaps are raised on dedicated vascular pedicles from a non-contiguous region. A distant flap may be moved to the defect maintaining the continuity of the pedicle (a ‘regional’ or ‘pedicled’ flap) or as a free flap, where the flap is elevated from its remote donor site and the pedicle is divided to allow the flap to be transported ‘free’ to the defect and then the vascular continuity is re-established by anastomosis to a recipient vessel in the defect. This chapter focuses on local flaps.

scholarly journals PREVENTION AND TREATMENT OF INFECTION WOUND COMPLICATIONS AT PROSTHETIC HERNIA REPAIR

2015 ◽  
Vol 1 (2) ◽  
pp. 16-23
Author(s):  
A. G. Sonis ◽  
B. D. Grachev ◽  
E. A. Stolyarov ◽  
I. V. Ishutov
Keyword(s):  
Abdominal Wall ◽  
Blood Supply ◽  
Anterior Abdominal Wall ◽  
Subcutaneous Tissue ◽  
Cellular Tissue ◽  
Infectious Complications ◽  
Occurrence Rate ◽  
Wound Complications ◽  
Prevention And Treatment ◽  
Deep Layers

Purpose – development of practical recommendations for prevention and treatment of infectious wound complications at prosthetic hernioplasty, based on the peculiarities of blood supply of the front abdominal wall. Materials and methods. 851 surgeries of prosthetic hernioplasty were made in Propaedeutic Surgery Clinic of Samara State Medical University throughout 2010–2013. The most of infectious complications developed after tension-free hernioplasty of big postoperative ventral hernias, with size of hernia orifice of 10 cm and more (W3–W4, Chevrel–Rath, 1999). 118 hernia repairs have been done for such hernias. These surgeries are peculiar by wide mobilization of cutaneous fat flaps and implant contact with the subcutaneous tissue. The imaging of blood vessels in median masses of the anterior abdominal wall was carried out using anatomic material. Results. Very interesting results were obtained with respect to peculiarities of blood supply to the skin and subcutaneous tissues of anterior abdominal wall, upon pumping of zinc sulfide and lead acetate to the epigastric arteries. The infectious wound complications after prosthetic hernioplasty are mostly concerned with the ischemia of cutaneous and subcutaneous flaps, which wide mobilization causes considerable blood supply disturbance and cellular tissue hemorrhages. In cases of hernia orifices size of 10 cm and more, the occurrence rate of infectious wound complications was 13,6 %. Conclusions. In case of wide mobilization of cutaneous fat flaps, the excision of deep layers of subcutaneous cellular tissue is possible and the aspiration drainage is mandatory. The ischemic genesis of complications causes a possibility of restricted surgical activity. Even development of infectious complications does not prevent the implant survival. 

Abdominoplasty

2019 ◽  
pp. 117-130
Author(s):  
Malcolm D. Paul
Keyword(s):  
Adverse Events ◽  
Blood Supply ◽  
Subcutaneous Tissue ◽  
Body Contouring ◽  
Fat Grafting ◽  
Important Goal ◽  
High Definition ◽  
Aesthetic Results ◽  
Sentinel Event ◽  
Fat Removal

The evolution of abdominal contouring began with excision of skin and subcutaneous tissue more than 100 years ago. This evolved into proper lower abdominal horizontal incision placement and fascial repair along with dermo-lipectomy. The introduction of liposuction was a sentinel event in body contouring, applicable as well to the entire abdomen. Taken further, abdominoplasty matured with targeted fat removal, fat grafting, and high-definition lipo-contouring. Limited undermining combined with targeted liposuction created an aesthetically pleasing abdominal contour while safely preserving the blood supply to the undermined flap. The introduction of barbed sutures for fascial repair and for wound closure, the use of basting sutures, and lateral to medial flap advancement moved modern abdominoplasty to a safer procedure with impressive aesthetic results. While producing an impressive aesthetic improvement was always the primary goal, increasing attention that focused on decreasing the risks of adverse events and sequelae was an important goal.

SUICIDAL MERCURY INJECTION INTO THE UPPER LIMB: A CASE STUDY

Hand Surgery ◽  
2004 ◽  
Vol 09 (02) ◽  
pp. 225-228 ◽  
Author(s):  
F. Wong ◽  
L. K. Hung ◽  
C. H. Wong ◽  
P. C. Ho
Keyword(s):  
Upper Limb ◽  
Chelating Agents ◽  
Subcutaneous Tissue ◽  
Management Approach ◽  
Mercury Vapour ◽  
Surgical Removal ◽  
Operation Theatre ◽  
Mercury Intoxication ◽  
Serial Serum

We report a rare case of self-injection of mercury into the subcutaneous tissue of the upper limb. A multi-disciplinary management approach was adopted including cooperation between toxicologists, orthopaedic surgeons, radiologists and environment safety personnel. Surgical removal of mercury under radiological screening and systemic intoxication treated by chelating agents, namely dimercaprol and succimer. Serial serum and urine mercury levels showed an initial rise despite surgical removal and returned to normal after a prolonged period of time. Safety precautions were taken during surgery to avoid inadvertent intoxication of staff. Contamination of the operation theatre was monitored by the amount of mercury vapour released into the air. All personnels involved in the management of the patient did not show any evidence of mercury intoxication.

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