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R. Acosta, M. Enajat, W. Rozen, J. Smit, M. Wagstaff, I. Whitaker, T. Audolfsson (2010)
Performing two DIEP flaps in a working day: an achievable and reproducible practice.Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 63 4
O. Villafañe, D. Gahankari, M. Webster (1999)
Superficial inferior epigastric vein (SIEV): 'lifeboat' for DIEP/TRAM flaps.British journal of plastic surgery, 52 7
S. Chow, Chen Dz, Gu Yd (1993)
The significance of venous drainage in free flap transfer.Plastic and reconstructive surgery, 91 4
M. Angel, C. Mellow, K. Knight, B. O'brien (1990)
Secondary Ischemia Time in Rodents: Contrasting Complete Pedicle Interruption with Venous ObstructionPlastic and Reconstructive Surgery, 85
M. Angel, S. Ramasastry, W. Swartz, R. Basford, J. Futrell (1987)
Free radicals: basic concepts concerning their chemistry, pathophysiology, and relevance to plastic surgery.Plastic and reconstructive surgery, 79 6
J. Meldon, L. Garby (2009)
The blood oxygen transport system. A numerical simulation of capillary-tissue respiratory gas exchange.Acta medica Scandinavica. Supplementum, 578
D. Miles, N. Crosby, Brian Clapson (1997)
The Role of the Venous System in the Abdominal Flap of the RatPlastic and Reconstructive Surgery, 99
(1984)
Control of microcirculation and blood tissue exchange
A. Fukui, S. Tamai, H. Williams, D. Fukui (1989)
The Importance of Venous Drainage in Rat Flaps: An Experimental StudyJournal of Reconstructive Microsurgery, 5
J. Lundberg, Hans Mark (2006)
Avoidance of complications after the use of deep inferior epigastric perforator flaps for reconstruction of the breastScandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 40
Y. Sawada (1977)
THE RELNTIONSHIP BETWEEN VENOUS OCCLUSION TIME IN ISLAND FLAPS AND FLAP SURVIVALSPlastic and Reconstructive Surgery, 60
Nakayama (1982)
The importance of arterial inflow in the distal side of a flap: An experimental investigationPlast Reconstr Surg, 69
K. Sano, G. Hallock, D. Rice (2003)
Venous “Supercharging” Augments Survival of the Delayed Rat TRAM FlapAnnals of Plastic Surgery, 51
N. Shamsian, E. Sassoon, R. Haywood (2008)
Salvage of a congested DIEP flap: a new technique.Plastic and reconstructive surgery, 122 1
D. Chiu, G. Hu, June Wu, Samuel Rhee, Leif Rogers, N. Gorlick (2002)
Extended rat-ear flap model: a new rodent model for studying the effects of vessel supercharging on flap viability.Journal of reconstructive microsurgery, 18 6
V. Hjortdal, E. Hauge, E. Hansen (1992)
Differential Effects of Venous Stasis and Arterial Insufficiency on Tissue Oxygenation in Myocutaneous Island Flaps: An Experimental Study in PigsPlastic and Reconstructive Surgery, 89
G. Wechselberger, T. Schoeller, T. Bauer, M. Ninković, A. Otto, M. Ninković (2001)
Venous superdrainage in deep inferior epigastric perforator flap breast reconstruction.Plastic and reconstructive surgery, 108 1
Y. Nakayama, S. Soeda, Y. Kasai (1982)
The importance of arterial inflow in the distal side of a flap: an experimental investigation.Plastic and reconstructive surgery, 69 1
K. Warner, G. Durham-Smith, M. Butler, C. Attinger, J. Upton, Shukri Khuri (1989)
Comparative Response of Muscle and Subcutaneous Tissue pH During Arterial and Venous Occlusion in Musculocutaneous FlapsAnnals of Plastic Surgery, 22
Hak Chang, K. Minn, N. Imanishi, T. Minabe, H. Nakajima (2007)
Effect of Venous Superdrainage on a Four-Territory Skin Flap Survival in RatsPlastic and Reconstructive Surgery, 119
P. Blondeel, Michael Arnstein, K. Verstraete, K. Depuydt, K. Landuyt, S. Monstrey, S. Kroll (2000)
Venous Congestion and Blood Flow in Free Transverse Rectus Abdominis Myocutaneous and Deep Inferior Epigastric Perforator FlapsPlastic and Reconstructive Surgery, 106
G. Hallock, D. Rice (2005)
Efficacy of Venous Supercharging of the Deep Inferior Epigastric Perforator Flap in a Rat ModelPlastic and Reconstructive Surgery, 116
E. Tutor, C. Aubá, A. Benito, G. Rábago, Willy Kreutler (2002)
Easy venous superdrainage in DIEP flap breast reconstruction through the intercostal branch.Journal of reconstructive microsurgery, 18 7
P. Blondeel (1999)
One hundred free DIEP flap breast reconstructions: a personal experience.British journal of plastic surgery, 52 2
M. Costa, C. Carriquiry, L. Vásconez, J. Grotting, Raul Herrera, B. Windle (1987)
An anatomic study of the venous drainage of the transverse rectus abdominis musculocutaneous flap.Plastic and reconstructive surgery, 79 2
R. Korthuis, D. Granger, M. Townsley, A. Taylor (1985)
The role of oxygen-derived free radicals in ischemia-induced increases in canine skeletal muscle vascular permeability.Circulation research, 57 4
C. Zeebregts, R. Acosta, L. Bölander, Olafur Jakobsson, R. Schilfgaarde (2002)
Clinical experience with non-penetrating vascular clips in free-flap reconstructions.British journal of plastic surgery, 55 2
T. Stasch, P. Goon, R. Haywood, E. Sassoon (2009)
DIEP Flap Rescue by Venesection of the Superficial Epigastric VeinAnnals of Plastic Surgery, 62
Niri Niranjan, A. Khandwala, D. Mackenzie (2001)
Venous augmentation of the free TRAM flap.British journal of plastic surgery, 54 4
K. Ueda, T. Harashina, Shinichiro Oba, Shozo Nagasaka (1994)
Which Vessel is More Important in the Supercharged Flap- Artery Vein, or Both? An Experimental StudyJournal of Reconstructive Microsurgery, 10
M. Schaverien, M. Saint-Cyr, G. Arbique, Spencer Brown (2008)
Arterial and Venous Anatomies of the Deep Inferior Epigastric Perforator and Superficial Inferior Epigastric Artery FlapsPlastic and Reconstructive Surgery, 121
K. Marck, J. Biezen, J. Dol (1996)
Internal mammary artery and vein supercharge in tram flap breast reconstructionMicrosurgery, 17
W. Rozen, E. García-Tutor, A. Alonso-Burgos, R. Acosta, F. Stillaert, J. Zubieta, M. Hamdi, I. Whitaker, M. Ashton (2010)
Planning and optimising DIEP flaps with virtual surgery: the Navarra experience.Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 63 2
O. Villafañe, D. Gahankari, M. Webster (1999)
Short reports and correspondenceBritish Journal of Plastic Surgery, 52
W. Swartz, N. Jones, L. Cherup, A. Klein, Pittsburgh (1988)
Direct Monitoring of Microvascular Anastomoses with the 20‐MHz Ultrasonic Doppler Probe: An Experimental and Clinical StudyPlastic and Reconstructive Surgery, 81
Background: Venous complications have been reported as the more frequently encountered vascular complications seen in the transfer of deep inferior epigastric artery (DIEA) perforator (DIEP) flaps, with a variety of techniques described for augmenting the venous drainage of these flaps to minimize venous congestion. The benefits of such techniques have not been shown to be of clinical benefit on a large scale due to the small number of cases in published series. Methods: A retrospective study of 564 consecutive DIEP flaps at a single institution was undertaken, comparing the prospective use of one venous anastomosis (273 cases) to two anastomoses (291 cases). The secondary donor vein comprised a second DIEA venae commitante in 7.9% of cases and a superficial inferior epigastric vein (SIEV) in 92.1%. Clinical outcomes were assessed, in particular rates of venous congestion. Results: The use of two venous anastomoses resulted in a significant reduction in the number of cases of venous congestion to zero (0 vs. 7, P = 0.006). All other outcomes were similar between groups. Notably, the use of a secondary vein did not result in any significant increase in operative time (385 minutes vs. 383 minutes, P = 0.57). Conclusions: The use of a secondary vein in the drainage of a DIEP flap can significantly reduce the incidence of venous congestion, with no detriment to complication rates. Consideration of incorporating both the superficial and deep venous systems is an approach that may further improve the venous drainage of the flap. © 2009 Wiley‐Liss, Inc. Microsurgery, 2010.
Microsurgery – Wiley
Published: Jan 1, 2010
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