Several aspects of formation of auto-transplant and re-transplant vascular pedicle.
The purpose of the work was the simplification of technical side of autotransplantation and replantation by pre-preparation of vascular pedicle. 173 patients were observed and treated. Microsurgical autotransplantation of tissues was done in 29 cases, fingers autotransplantation in 44 cases (35 patients), fingers replantation in 66 cases (38 patients), replantation of thick parts of extremities in 34 cases (3 patients). Thoracodorsal flap on the neuro-vascular flap was transplntated in 16 cases, groin flap in 3 cases, deltoid flap -- in 3 cases, scapular flap -- in 1 case, saphenal -- 1 case, gracilis muscle in 3 cases, iliac crest flap in 2 cases, rib segment on vascular pedicle -- in 8 cases. Rib segment was transplanted as an isolated and with pre-prepared thoracodorsal bone-soft tissue complex also. II toe-finger and II-III toe-fingers block were transplanted for the abnormalities of the hand. Good and satisfactory functional and aesthetic results were obtained in all cases of autotransplantation and replantation. Original method of anastomosing of vessels was used in vein transplantation. We could simplify and increased the number of good results of operations by pre-preparing vascular pedicle. The results of treatment were improved by optimal election of donor site and preliminary forming of vascular pedicle of flaps and replants.
Peradze
I
I
Eristavi National Center of Surgery; Clinic of Vascular and Reconstructive Surgery, Tbilisi, Georgia.
Peradze
T
T
Tsilosani
G
G
D000714:Anastomosis, Surgical; D005121:Extremities / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D008866:Microsurgery / Q000379:methods; D012092:Replantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D016378:Tissue Transplantation / Q000379:methods*; D014182:Transplantation, Autologous / Q000379:methods*; D014656:Vascular Surgical Procedures