scholarly journals Basic Principles in Microvascular Anastomosis and Free Tissue Transfer

2020 ◽  
Author(s):  
Ignacio Vila ◽  
Iván Couto-González ◽  
Beatriz Brea-García
Keyword(s):  
Reconstructive Surgery ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
Microvascular Anastomosis ◽  
First Line ◽  
Basic Principles ◽  
Tissue Transfer ◽  
Aesthetic Results ◽  
Surgical Field ◽  
Vascular Suture

Free tissue transfer pursues the best functional and aesthetic results in reconstructive surgery. As these techniques completely maximise the donor tissues’ disposability, these treatments have become a first-line option in many situations. When the donor site is taken form the same patient, these surgeries are often referred to as autotransplants. Free tissue transfer sustains in microvascular anastomosis, which are defined by a vessel lumen diameter inferior to 3 mm. Particular attention to some details is important in these techniques, as, for example, to preclude any damage to the vessel walls or any leakage in the microvascular anastomosis. But the success of these techniques does not only depend on an adequate vascular suture, but also on a constellation of details that must be taken into account. These go from the availability of a trained team, to the ergonomics of the surgeon, through the scrupulous cleanliness of the surgical field.

scholarly journals Association of Body Mass Index With Infectious Complications in Free Tissue Transfer for Head and Neck Reconstructive Surgery

2017 ◽  
Vol 143 (6) ◽  
pp. 574 ◽  
Author(s):  
Mohemmed N. Khan ◽  
Jack Russo ◽  
John Spivack ◽  
Christopher Pool ◽  
Ilya Likhterov ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Head And Neck ◽  
Body Mass ◽  
Reconstructive Surgery ◽  
Free Tissue Transfer ◽  
Infectious Complications ◽  
Tissue Transfer

scholarly journals Reconstruction of Angle of the Mouth by Microvascular Radial Forearm Free flap- A case report

2014 ◽  
Vol 40 (2) ◽  
pp. 62-64
Author(s):  
MA Litu ◽  
NK Chowdhury ◽  
M Rahman ◽  
S Hassan ◽  
ABM Korshed Alam ◽  
...  
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
The Body ◽  
Radial Forearm Free Flap ◽  
Recipient Site ◽  
Present Case Report ◽  
Tissue Transfer ◽  
Radial Forearm

The terms free flap and free tissue transfer are synonymous used to describe the movement of tissue from one site on the body to another. "Free" implies that the tissue, along with its blood supply, is detached from the original location (donor site) and then transferred to another location (recipient site). However, studies are still going on about the different aspects of its success and failure. The present case report is one such step to share our experience. In this case report successful microvascular free tissue transfer was possible With the increase in experience we can expect increased success rate as well. DOI: http://dx.doi.org/10.3329/bmj.v40i2.18515 Bangladesh Medical Journal 2011 Vol.40(2): 62-64

scholarly journals Microsurgical free tissue transfer as avaluable reconstructive procedure in foot reconstruction

2007 ◽  
Vol 40 (02) ◽  
pp. 141-146
Author(s):  
mohamed el-shazly ◽  
mohamed makboul
Keyword(s):  
Free Flap ◽  
Motor Vehicle ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Vehicle Accidents ◽  
Tissue Transfer ◽  
Scapular Flap ◽  
Radial Forearm ◽  
Foot Reconstruction

ABSTRACT Background: owing to the limited soft tissue donor sites in the foot area, the use of microsurgical tissue transfer is frequently becoming mandatory in this area, especially in cases of massive defects due to the common motor vehicle accidents in the territory of upper egypt. free flaps offer a great variety of available tissues to cover larger, multifocal or multistructural defects. they also improve the perfusion of the infected poorly perfused areas.Objectives: in this study, we tried to evaluate foot defects according to their size, shape and site and to determine the general and specific parameters of free tissue transfer to the foot area in concomitance with the patients needs.Materials and methods: eleven patients were included in this study. for each patient, complete history was taken, general and local examination, photographic documentation, laboratory investigations, imaging and other investigations were performed. free flap transfers were applied in all cases as follows: latissimus dorsi flap in five cases, rectus abdominis flap in three cases, scapular flap in one case, gracilis flap in one case and radial forearm flap in one case.Results: nine flaps survived. no infection or donor site complications were recorded. every patient had the optimum free flap as regards the defect size, site, depth, condition, shape, donor site availability and the recipient vessels′ condition.Conclusion: the study of the optimum free flap for foot reconstruction in relation to the defect present and patient conditions is crucial to have significant results.

Intraoral microvascular anastomosis: avoiding visible scars on the face during free tissue transfer

2015 ◽  
Vol 221 (4) ◽  
pp. e119
Author(s):  
Michael Sosin ◽  
Mark W. Stalder ◽  
Amir H. Dorafshar ◽  
Hugo St. Hilaire ◽  
Eduardo D. Rodriguez
Keyword(s):  
Free Tissue Transfer ◽  
Microvascular Anastomosis ◽  
Tissue Transfer ◽  
The Face

scholarly journals Lessons Learned in Scalp Reconstruction and Tailoring Free Tissue Transfer in the Elderly: A Case Series and Literature Review

2015 ◽  
Vol 8 (3) ◽  
pp. 179-189 ◽  
Author(s):  
Michael Sosin ◽  
Arif Chaudhry ◽  
Carla De La Cruz ◽  
Branko Bojovic ◽  
Paul N. Manson ◽  
...  
Keyword(s):  
Donor Site ◽  
Case Series ◽  
Perforator Flap ◽  
Free Tissue Transfer ◽  
The Elderly ◽  
Lessons Learned ◽  
Soft Tissue Coverage ◽  
Scalp Reconstruction ◽  
Tissue Transfer ◽  
The Mean

This article aims to demonstrate an individualized approach to an elderly patient requiring scalp reconstruction, to describe the methodology in flap selection, lessons learned, and report outcomes. A retrospective review of a single surgeon's experience of scalp reconstruction (E. D. R.) using free tissue transfer from 2005 to 2011, in patients older than 70 years, was completed. A total of eight patients met the inclusion criteria, five males and three females, with a mean age of 80.4 years (range, 73–92). Free tissue transfer achieved 100% soft tissue coverage. Six of the eight patients required cranioplasty. The mean size calvarial defect was 92 cm2 (range, 35–285 cm2). The mean flap size was 117.6 cm2 (range, 42–285 cm2). Free flaps included three ulnar, three anterolateral thigh, one latissimus dorsi, and one thoracodorsal perforator flap. The mean follow-up time was 18.4 months (range, 3–46 months). Donor site morbidity was minimal. Mortality was 0%. Immediate flap failure was 0%. Other complications occurred in six of the eight patients. Mean revisionary procedures were 1.25 procedures per patient. It was concluded that chronological age does not increase mortality or catastrophic flap complications; however, morbidity is increased in the elderly and revisionary surgery is likely.

Microvascular anastomosis through the tibial tunnel: A new technique in free-tissue transfer to the leg

Microsurgery ◽  
2004 ◽  
Vol 24 (4) ◽  
pp. 293-297 ◽  
Author(s):  
Keiichi Muramatsu ◽  
Mitsunori Shigetomi ◽  
Koichiro Ihara ◽  
Shinya Kawai
Keyword(s):  
Tibial Tunnel ◽  
Free Tissue Transfer ◽  
New Technique ◽  
Microvascular Anastomosis ◽  
Tissue Transfer ◽  
A New Technique
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