[Circulation in myocutaneous flaps in the area of the tibia].
After a free myocutaneous flap transfer to the lower leg the necessary circulation may be prevented by spasm of the donor vessel, despite of a tension-free anastomosis. Application of bupivacaine-hydrochloride through a peridural catheter results in a sympathetic blockade. The ability thus to influence vascular spasms pharmacologically has been evaluated. Three clinical cases are presented discussing the surgical consequences of such pharmacological intervention.
D000328:Adult; D000767:Anesthesia, Epidural; D002045:Bupivacaine; D005260:Female; D005592:Fracture Fixation; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D009132:Muscles / Q000098:blood supply*; D012039:Regional Blood Flow / Q000187:drug effects; D012867:Skin / Q000098:blood supply*; D013524:Surgical Flaps; D013977:Tibia / Q000098:blood supply; D013978:Tibial Fractures / Q000601:surgery*
D002045:Bupivacaine
Problematik der Durchblutung bei Hautmuskellappen im Unterschenkelbereich.