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Indikationen für die Arterialisation von Gewebe

  • J. Hussmann
  • Ch. Bahr
  • H.-U. Steinau
  • E. Vaubel
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Indications for Tissue Arterialization

Summary

Data from 69 arterialized venous flaps and transplants were reviewed and showed an overall complication rate of 18.6%. Possible hemodynamic mechanisms include, among others, the opening of macro- and microvenous interconnecting pathways with in the perivenous areolar tissue and pressure-induced insufficiency of venouf valves. The use of arterialized venous flaps increases the plastic surgeon’s armamentarium if standard local or distant flap procedures are not possible, and the use of a vein to provide arterial inflow into an amputated body part presents a suitable alternative if arteries are not available and venous congestion is controlled.

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Literatur

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    Hussmann J, Vaubel E (1986) Arterialization of epigastric skin flaps in rabbits. Chir Plast 3:171–176Google Scholar
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    Orticochea M (1987) The principle of reversal of flow on blood vessels. Br J Plast Surg 40:86–93PubMedCrossRefGoogle Scholar
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    Pinal DF, Taylor GI (1993) The deep venous system and reverse flow flaps. Brit J Plast Surg 46:652–664PubMedCrossRefGoogle Scholar
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    Vaubel E (1975) Indikationen und Technik des arterialisierten Lappens zur Deckung großer Defekte im Handbereich. Hefte zur Unfallheilk 126:381–384Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • J. Hussmann
    • 1
  • Ch. Bahr
    • 2
  • H.-U. Steinau
    • 1
  • E. Vaubel
    • 2
  1. 1.Klinik für Plastische Chirurgie, Berufsgenossenschaftliche Kliniken BergmannsheilUniversitätsklinikBochumDeutschland
  2. 2.Abteilung für Plastische ChirurgieKrankenhaus ZehlendorfBerlinDeutschland

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