title: Enhancement of venous drainage with vein stripper for reversed pedicled neurocutaneous flaps.
abstract: The flaps based on the vascular axis of superficial sensitive cutaneous nerves had gained increased popularity in reconstructive surgery because of such major advantages as preservation of major extremity arteries and avoidance of microsurgical procedures. However, postoperative venous congestion resulting in partial or total necrosis is still a common problem for these flaps. The aim of the current study is to introduce a new method for reducing the postoperative venous congestion of neural island flap with the results of reconstruction of the soft tissue defects of foot and ankle. This method was used to treat 19 patients with various chronic soft tissue defects of the foot and ankle between 2011 and 2012. We observed that the novel method presented in this report enables effective venous drainage, solving the postoperative venous congestion problem of these flaps.
authors: Department of Plastic and Reconstructive Surgery, Ataturk Research and Training Hospital, Izmir, Turkey. erhans@hacettepe.edu.tr
authors: Erhan
authors: E
authors: Sonmez
authors: Özlem Karataş
authors: ÖK
authors: Silistireli
authors: Önder
authors: Ö
authors: Karaaslan
authors: Haldun Onuralp
authors: HO
authors: Kamburoğlu
authors: Tunc
authors: T
authors: Safak
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000601:surgery; D017719:Diabetic Foot / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000601:surgery; D006801:Humans; D006940:Hyperemia / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000517:prevention & control*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012039:Regional Blood Flow / Q000502:physiology; D012501:Saphenous Vein / Q000601:surgery; D012867:Skin / Q000098:blood supply / Q000294:innervation; D016038:Skin Transplantation / Q000379:methods / Q000473:pathology*; D017695:Soft Tissue Injuries / Q000601:surgery; D013497:Sural Nerve / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply* / Q000294:innervation / Q000637:transplantation; D020858:Tissue and Organ Harvesting / Q000379:methods; D018608:Ultrasonography, Doppler; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000295:instrumentation*; D055815:Young Adult