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J. Fisher, M. Wood (1984)
Late necrosis of a latissimus dorsi free flap.Plastic and reconstructive surgery, 74 2
C. Khoo, B. Bailey (1982)
The behaviour o free muscle and musculocutaneous flaps after early loss of axial blood supply.British journal of plastic surgery, 35 1
Tatsuo Nakajima (1978)
How soon do venous drainage channels develop at the periphery of a free flap? A study in rats.British journal of plastic surgery, 31 4
中島 龍夫 (1978)
How soon do venous drainage channels develop at the periphery of a free flap
T. Rath, H. Piza, A. Opitz (1986)
Survival of a free musculocutaneous flap after early loss of arterial blood supply.British journal of plastic surgery, 39 4
M. Fried, Z. Horowitz, J. Kelly, M. Strome (1982)
The importance of the pedicle for the survival of a vascularized free flap: an experimental study on rats.Head & neck surgery, 5 2
C. Young (1982)
The Revascularization of Pedicle Skin Flaps in Pigs: A Functional and Morphologic StudyPlastic and Reconstructive Surgery, 70
K. Rothaus, R. Acland (1983)
Free flap neo-vascularisation: case report.British journal of plastic surgery, 36 3
M.J.M. Black, L. Chait, B. O'Brien, P. Sykes, L. Sharzer (1978)
How soon may the axial vessels of a surviving free flap be safely ligated: a study in pigs.British journal of plastic surgery, 31 4
A. Gilbert, J. Bérès (1976)
Une complication inhabituelle d'un lambeau libreAnnales de chirurgie plastique, 21
(1983)
Free flap neovascularisation a case report
R. Sadove, Mark Kanter (1993)
Absent Neovascularization in a Lower Extremity Free Flap: A Case ReportJournal of Reconstructive Microsurgery, 9
The dependence of free flaps on the original vascular anastomosis was investigated using color duplex . Although functional and morphological changes in flaps have been previously documented, showing the formation of new vessels across the flap inset, this was not observed in this study. Even after 1 year after surgery the free flaps were still dependent on the original anastomoses for their blood supply, with no other significant vessels obvious on duplex to supply the flap. This evidence as well other published reports suggest that at least the lower extremity and the chest wall do not develop collateral circulation to a free tissue transfer. Late postoperative division of the vascular pedicle either in the lower limb or the chest wall should be approached with the knowledge that neovascularization across the flap margins is the exception rather than the rule.
European Journal of Plastic Surgery – Springer Journals
Published: Apr 1, 2003
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