[Does tissue perfusion after free microvascular tissue transplantation remain autonomous?].
In a retrospective study, including 60 patients, after free latissimus dorsi transplantation (FLDT) to the lower leg, we found persistent pedicle blood flow up to ten years postoperatively. After uncomplicated FLDT, the pedicle supported the flap in all cases. After complicated FLDT (hematoma, thrombosis, infection) only 50% of all flaps after ten years were perfused by the vascular pedicle.
Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Lübeck.
H G
HG
Machens
P
P
Mailänder
P
P
Brenner
J
J
Pasel
M
M
Funke
F
F
Siemers
A
A
Berger
D000293:Adolescent; D000328:Adult; D001783:Blood Flow Velocity / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006706:Homeostasis / Q000502:physiology; D006801:Humans; D007869:Leg Injuries / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology; D012039:Regional Blood Flow / Q000502:physiology; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000098:blood supply*; D014945:Wound Healing / Q000502:physiology