Free tissue failure is not an all-or-none phenomenon

Plastic and Reconstructive Surgery

Volumn 96, Issue 3, 1995, Pages 648-660

  Weinzweig, Norman ^a   Gonzalez, Mark ^a  

^a UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; DEBRIDEMENT; FEMALE; FREE TISSUE GRAFT; GRAFT FAILURE; HUMAN; MALE; MICROVASCULAR SURGERY; MUSCLE FLAP; MYOCUTANEOUS FLAP; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; TISSUE BLOOD FLOW;

ADULT; AGED; CASE REPORT; FEMALE; GRAFT SURVIVAL; HUMAN; MALE; MICROCIRCULATION; MIDDLE AGE; REOPERATION; SURGICAL FLAPS;

EID: 0029100776     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/00006534-199509000-00018     Document Type: Article

References (44)

1. Shaw, W. W. Microvascular free flaps: The first decade. Clin. Plast. Surg. 10: 3, 1983.
2. Whitney, T. M., Clapson, J. B., and Buncke, H. J. Free Tissue Transplantation: A Retrospective Review of 700 Consecutive Free Tissue Transfers. In: Wei, F.-C. (Ed.), Symposium on Microsurgical Reconstruction. Norfolk, VA: Hampton Press, 1989.
3. Salemark, L. International survey of current microvascular practices in free tissue transfer and replantation surgery. Microsurgery 12: 308, 1991.
4. Khouri, R. K. Free flap surgery: The second decade. Clin. Plast. Surg. 19: 757, 1992.
5. Kleinert, H. E., Jablon, M., and Tsai, T. An overview of replantation and results of 347 replants in 245 patients. J. Trauma 20: 390, 1980.
6. Shenaq, S. M., and Spira, M. Free Tissue Transfer using Loupe Magnification: An Experience with 169 Consecutive Free Tissue Transfers. Presented at the Sixth Annual Meeting of the American Society for Reconstructive Microsurgery, Toronto, September 21,1990.
7. Hidalgo, D. A., and Jones, C. S. The role of emergent exploration in free-tissue transfer: A review of 150 consecutive cases. Plast. Reconstr. Surg. 86: 492, 1990.
8. Jones, N. F. Discussion of “The role of emergent exploration in free-tissue transfer: A review of 150 consecutive cases” by Hidalgo, D. A. et al. Plast. Reconstr. Surg. 86: 499, 1990.
9. Jones, N. F. Intraoperative and postoperative monitoring of microsurgical free tissue transfers. Clin. Plast. Surg. 19: 783, 1992.
10. May, J. W., and Stirrat, C. R. The Unfavorable Result in Elective Microvascular Reconstructive Surgery: A Method of Pre- and Postoperative Analysis. In R. M. Goldwyn (Ed.), The Unfavorable Result in Plastic and Reconstructive Surgery, Vol. 2, 2nd Ed. Boston: Little, Brown, 1984, Pp. 125-137.
11. Lineaweaver, W. C., and Buncke, H.J. Complications of free flap transfers. Hand Clin. 2: 347, 1986.
12. Urbaniak, J. R., and Richards, R. R. Complications in Microvascular Surgery. In C. H. Epps (Ed.), Complications in Orthopedic Surgery, 2nd Ed. Philadelphia: J. B. Lippincott, 1986.
13. Strauch, B., Greenstein, B., Goldstein, R., and Liebling, R. W. Problems and complications encountered in replantation surgery. Hand Clin. 2: 389, 1986.
14. Lineaweaver, W. C., Buncke, H. J., Whitney, T. M., Clapson, J. B., Buncke, G. M., and Alpert, B. S. Factors associated with microvascular flap failure and direction for research. Plast. Surg. Forum 12: 252, 1989.
15. Fearon, J. A., Cuadros, C. L., and May, J. W., Flap failure after microvascular free-tissue transfer: The fate of a second attempt. Plast. Reconstr. Surg. 86: 746, 1990.
16. Lineaweaver, W. C., and Buncke, H. J. Complications. In H. J. Buncke (Ed.), Microsurgery: Transplantation- Replantation. Philadelphia: Lea & Febiger, 1991.
17. Khouri, R. K. Avoiding free flap failure. Clin. Plast. Surg. 19: 773, 1992.
18. Oliva, A., Lineaweaver, W. C., Buncke, H. J., Buncke, G. M., Siko, P., Jackson, R. L., Samaha, F.J., and Alpert, B. S. Salvage of wounds following failed tissue transplantation. J. Reconstr. Surg. 9: 257, 1993.
19. Acland, R. Thrombus formation in microvascular surgery: An experimental study of the effects of surgical trauma. Surgery 73: 766, 1973.
20. Acland, R. D., and Tractenberg, L. The histopathology of small arteries following experimental microvascular anastomosis. Plast. Reconstr. Surg. 59: 868, 1977.
21. Gu, J.-M., Acland, R. D., Anderson, G. L., Wyllie, F., and Barker, J. H. Poor surgical technique produces more emboli after arterial anastomosis of an island flap. Br. J. Plast. Surg. 44: 126, 1991.
22. Khouri, R. K, Cooley, B. C., Kenna, D. M., and Edstrom, L. E. Thrombosis of microvascular anastomoses in traumatized vessels: Fibrin versus platelets. Plast. Reconstr. Surg. 86: 110, 1990.
23. Johnson, P. C., and Barker, J. H. Thrombosis and antithrombotic therapy in microvascular surgery. Clin. Plast. Surg. 19: 799, 1992.
24. Bentz, M. L., Sheppeck, R. A., Macpherson, T., Garrett, K. O., Billiar, T., Dickson, C. S., Janosky, J., and Johnson, P. C. Vasospasm and platelet deposition in human arteries: Effects of topical methylene blue. Plast. Reconstr. Surg. 88: 851, 1991.
25. Johnson, P. C., Sheppeck, R. A., Macpherson, T., Garrett, K. O., Janosky, J., and Bentz, M. L. Initial platelet deposition at the human microvascular anastomosis: Effect on downstream platelet deposition to intact and injured vessels. Plast. Reconstr. Surg. 90: 650, 1992.
26. Johnson, P. C. Platelet-mediated thrombosis in microvascular surgery: New knowledge and strategies. Plast. Reconstr. Surg. 86: 359, 1990.
27. Greenberg, B. M., May, J. J., Masem, M., Wang, Y.-X., and Rubin, P. Efficacy of intra-arterial heparin in maintaining microvascular patency: An experimental model. J. Reconstr. Microsurg. 5: 287, 1989.
28. Acland, R. D., Anderson, G., Siemionow, M., and Cabe, S. Direct in vivo observations of embolic events in the microcirculation distal to a small-vessel anastomosis. Plast. Reconstr. Surg. 84: 280, 1989.
29. Acland, R. D., Anderson, G. L., and Barker, J. H. The role of emboli in producing flow disturbances in the microcirculation following arterial repair (Abstract). Int. J. Microdrc. Clin. Exp. 1 (Suppl. 9): 51, 1990.
30. Barker, J. H., Acland, R. D., Anderson, G. L., and Patel, J. Microcirculatory disturbances following the passage of emboli in an experimental free-flap model. Plast. Reconstr. Surg. 90: 95, 1992.
31. Barker, J. H., Gu, J. M., Anderson, G. L., O’Shaughnessy, M., Pierangeli, S., Johnson, P, Galletti, G., and Acland, R. D. The effects of heparin and dietary fish oil on embolic events and the microcirculation downstream from a small artery repair. Plast. Reconstr. Surg. 91: 335, 1993.
32. Corcoran, J., Stephenson, L. L., Lay, L., and Zamboni, W. A. Macrovascular Flow Does Not Reflect Microvascular Flow in Rat Hind Limb Ischemia-Reperfusion Model. Presented at the American Society for Reconstructive Microsurgery Meeting, Kansas City, Missouri, September 1993, Pp. 14-15.
33. Godina, M. Early microsurgical reconstruction of complex trauma of the extremities. Plast. Reconstr. Surg. 78: 285, 1986.
34. Batchelor, A. G. G., Davison, P., and Sully, L. The salvage of congested skin flaps by the application of leeches. Br. J. Plast. Surg. 37: 358, 1984.
35. Dabb, R. W., Malone, J. M., and Leverett, L. C. The use of medicinal leeches in the salvage of flaps with venous congestion. Ann. Plast. Surg. 29: 250, 1992.
36. Gabel, G. T., and Urbaniak, J. Conservative Management of the Failed Free Vascularized Flap: The “crane” Method (Abstract). Presented at the 7th Annual Meeting of the American Society for Reconstructive Microsurgery, Orlando, Florida, September,1991, P. 48.
37. Serafin, D., Shearin, J. C., and Georgiade, N. G. The vascularization of free flaps: A clinical and experimental correlation. Plast. Reconstr. Surg. 60: 233, 1977.
38. Black, M. J. M., Chait, L., O’Brien B.Mc., et al. How soon may the axial vessels of a surviving free flap be safely ligated. A study in pigs. Br.J. Plast. Surg. 31: 295, 1978.
39. Khoo, C. T. K., and Bailey, B. The behavior of free muscle and musculocutaneous flaps after loss of axial blood supply. Br.J. Plast. Surg. 35: 43, 1982.
40. Millard, D. R. The crane principle for the transport of subcutaneous tissue. Plast. Reconstr. Surg. 43: 451,1969.
41. Spence, R. J. The use of a free flap in homozygous sickle cell disease. Plast. Reconstr. Surg. 76: 616, 1985.
42. Khouri, R. K., and Upton, J. Bilateral lower limb salvage with free flaps in a patient with sickle cell ulcers. Ann. Plast. Surg. 27: 574, 1991.
43. Luk, K. D. K., Zhou, L. R., and Chow, S. P. The effect of established infection on microvascular surgery. Plast. Reconstr. Surg. 80: 423, 1987.
44. Luk, K. D. K., Huang, L., Liu, K., and Chow, S. P. Effect of treated infection on microvascular anastomosis. Microsurgery 13: 84, 1992.