Lower limb revascularisation preceding surgical wound coverage - An interdisciplinary algorithm for chronic wound closure

Journal of Plastic, Reconstructive and Aesthetic Surgery

Volumn 61, Issue 8, 2008, Pages 925-933

  Aust, M C ^a   Spies, M ^a   Guggenheim, M ^b   Gohritz, A ^a   Kall, S ^a   Rosenthal, H ^a   Pichlmaier, M ^a   Oehlert, G ^c   Vogt, P M ^a  

^a HANNOVER MEDICAL SCHOOL   (Germany)

^b UNIVERSITY HOSPITAL ZURICH   (Switzerland)

^c Klinikum Hannover Oststadt   (Germany)

Author keywords

Arterial occlusive disease; Chronic wounds; Peripheral vascular recanalisation; Plastic surgical wound closure

Indexed keywords

ADULT; ARTICLE; BYPASS SURGERY; CHRONIC WOUND; CLINICAL EXAMINATION; DIAGNOSTIC APPROACH ROUTE; DOPPLER ECHOGRAPHY; FEMALE; FEMORAL ANGIOGRAPHY; HUMAN; LEG REVASCULARIZATION; MAJOR CLINICAL STUDY; MALE; MICROVASCULAR SURGERY; PERIPHERAL OCCLUSIVE ARTERY DISEASE; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULSE PRESSURE; SPLIT THICKNESS SKIN GRAFT; SURGICAL PATIENT; SURGICAL THROMBECTOMY; SURGICAL WOUND; TRANSLUMINAL CORONARY ANGIOPLASTY; VACUUM ASSISTED CLOSURE; VASCULAR SURGERY; WOUND CLOSURE; WOUND HEALING; WOUND HEALING IMPAIRMENT; WOUND INFECTION;

ADULT; AGED; ALGORITHMS; ARTERIAL OCCLUSIVE DISEASES; CHRONIC DISEASE; FEMALE; HUMANS; LEG ULCER; LOWER EXTREMITY; MALE; MICROSURGERY; MIDDLE AGED; PERIPHERAL VASCULAR DISEASES; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; RECONSTRUCTIVE SURGICAL PROCEDURES; REOPERATION; SURGICAL FLAPS; TREATMENT OUTCOME; WOUND HEALING;

EID: 48049124349     PISSN: 17486815     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bjps.2007.09.060     Document Type: Article

References (47)

1. Bitsch M., Saunte D.M., Lohmann M., et al. Standardised method of surgical treatment of leg ulcers. Scand J Plast Reconstr Surg Hand Surg 39 (2005) 162-169
2. Ciresi K.F., Anthony J.P., Hoffman W.Y., et al. Limb salvage and wound coverage in patients with large ischemic ulcers: a multidisciplinary approach with revascularization and free tissue transfer. J Vasc Surg 18 (1993) 648-653
3. Colen L., and Musson A. Preoperative assessment of the peripheral vascular disease patient for free tissue transfers. J Reconstr Microsurg 4 (1987) 1-14
4. Collins N. Protein-energy malnutrition and involuntary weight loss: nutritional and pharmacological strategies to enhance wound healing. Expert Opin Pharmacother 4 (2003) 1121-1140
5. Eaglstein W.H., and Falanga V. Chronic wounds. Surg Clin North Am 77 (1997) 689-700
6. Hansgen K., Podhaisky H., Heinemann S., et al. Doppler ultrasound evaluation of blood flow direction in distal occlusions of arteries of the lower leg. Ultraschall Med 15 (1994) 317-320
7. Hansson C., Andersson E., and Swanbeck G.A. A follow-up study of leg and foot ulcer patients. (Stockh). Acta Derm Venereol 67 (1987) 496-500
8. Hansson C., Andersson, and Swanbeck G. Leg ulcer epidemiology in Gothenburg. Acta Chir Scand 544 suppl (1988) 12-16
9. Kumins N.H., Weinzweig N., and Schuler J.J. Free tissue transfer provides durable treatment for large nonhealing venous ulcers. J Vasc Surg 32 (2000) 848-854
10. Leng G.C., Lee A.J., and Fowkes F.G. Incidence, natural history and cardiovascular events in symptomatic and asymptomatic peripheral arterial disease in the general population. Int J Epidemiol 25 (1996) 1172-1181
11. Lepantalo M., and Tukiainen E. Combined vascular reconstruction and microvascular muscle flap transfer for salvage of ischemic legs with major tissue loss and wound complications. Eur J Vasc Endovasc Surg 12 1 (1996) 65-69
12. Lorenzen H.P., and Longaker M.T. Wound healing: repair biology and wound scar treatment. In: Mathes S.J., and Hentz V.R. (Eds). Plastic Surgery. 2nd ed. General Principles Vol. 1 (2006), Saunders, Philadelphia
13. Luther M., Kantonen I., Lepäntalo M., et al. Arterial interventions and reduction in amputation for chronic leg ischemia. Br J Surg 87 (2000) 454-458
14. Lutz B.S., Wei F.C., Machens H.G., et al. Indications and limitations of angiography before free-flap transplantation to the distal lower leg after trauma: prospective study in 36 patients. J Reconstr Microsurg 16 (2000) 187-191
15. Lutz B.S., Wei F.C., Ng S.H., et al. Routine donor leg angiography before vascularized free fibula transplantation is not necessary: a prospective study in 120 clinical cases. Plast Reconstr Surg 103 (1999) 121-127
16. Marklund B., Sulau T., and Lindholm C. Prevalence of non-healed and healed chronic leg ulcers in an elderly rural population. Scand J Prim Health Care 18 (2000) 58-60
17. Mast B.A. Comparison of magnetic resonance angiography and digital subtraction angiography for visualization of lower extremity arteries. Ann Plast Surg 46 (2001) 261-264
18. Nelzén O., Bergqvist D., and Lindhagen A. The prevalence of chronic lower-limb ulceration has been underestimated: results of a validated population questionnaire. Br J Surg 83 (1996) 255-258
19. Probst W., and Vasel-Biergans A. In: Probst W. (Ed). Wundmanagement. Wissenschaftliche Verlagsgesellschaft 1 (2004), Auflage, Stuttgart 12-160
20. Ramsey S.D., Newton K., Blough D., et al. Incidence, outcomes, and cost of foot ulcers in patients with diabetes. Diabetes Care 22 (1999) 382-387
21. Sood R, Coleman JJ, Daising M, et al. Preoperative evaluation of the lower extremity using color Doppler imaging versus angiography. Presented at American Society of Reconstructive Microsurgery, Miami, FL, 2000.
22. Stevenson T.R., and Thornton J.W. Doppler flow measurement in arteriosclerotic posterior tibial artery. J Reconstr Microsurg 3 (1987) 285-289
23. Tukiainen E., Biancari F., and Lepäntalo M. Lower limb revascularization and free flap transferfor major ischemic tissue loss. World J Surg 24 (2000) 1531-1536
24. Tukiainen E., Kallio M., and Lepäntalo M. Advanced leg salvage of the critically ischemic leg with major tissue loss by vascular and plastic surgeon teamwork. Long-term outcome. Ann Surg 244 (2006) 949-958
25. Koshima I., Kawada S., Etoh H., et al. Flow-through anterior thigh flaps for one-stage reconstruction of soft-tissue defects and revascularization of ischemic extremities. Plast Reconstr Surg 95 (1995) 252-260
26. Koshima I., Fujitsu M., Ushio S., et al. Flow-through anterior thigh flaps with a short pedicle for reconstruction of lower leg and foot defects. Plast Reconstr Surg 115 (2005) 155-162
27. Koshima I., Urushibara K., Inagawa K., et al. Free medial plantar perforator flaps for the resurfacing of finger and foot defects. Plast Reconstr Surg 107 (2001) 1753-1758
28. Koshima I., Saisho H., Kawada S., et al. Flow-through thin latissimus dorsi perforator flap for repair of soft-tissue defects in the legs. Plast Reconstr Surg 103 (1999) 1483-1490
29. Mathes S.I., Feng L.J., and Hunt T.K. Coverage of the infected wound. Ann Surg 198 (1983) 420-429
30. Arnold P.G., Yugueros P., and Hanssen A.D. Muscle flaps in osteomyelitis of the lower extremity: a 20-year account. Plast Reconstr Surg 104 (1999) 107-110
31. Mathes S.J., Alpert B.S., and Chang N. Use of the muscle flap in chronic osteomyelitis: experimental and clinical correlation. Plast Reconstr Surg 69 (1982) 815
32. Gosain A., Chang N., Mathes S., et al. A study of the relationship between blood flow and bacterial inoculation in musculocutaneous and fasciocutaneous flaps. Plast Reconstr Surg 86 (1990) 1152
33. Russel R.C., Graham D., Feller A.M., et al. Experimental evaluation of the antibiotic carrying capacity of a muscle flap into a fibrotic cavity. Plast Reconstr Surg 81 (1988) 162
34. Khouri R.K., and Shaw W.W. Reconstruction of the lower extremity with microvascular free flaps: a 10 year experience with 304 consecutive cases. J Trauma 29 (1989) 1086
35. Weinzweig N., and Davies B.W. Foot and ankle reconstruction using the radial forearm flap: A review of 25 cases. Plast Reconstr Surg 1998 (1999) 102
36. Chen D., Jupiter J.B., Lipton H.A., et al. The parascapular flap for treatment of lower extremity disorders. Plast Reconstr Surg 84 (1989) 108
37. Wyble E.J., Yakuboff K.P., Clark R.G., et al. Use of free fasciocutaneous and muscle flaps for reconstruc-tion of the foot. Ann Plast Surg 24 (1990) 101
38. Colen L.B., Pessa J.E., Potparic Z., et al. Reconstruction of the extremity with the dorsal thoracic fascia free flap. Plast Reconstr Surg 101 (1998) 738
39. Kuo Y.R., Jeng S.F., Kuo M.H., et al. Free anterolateral thigh flap for extremity reconstruction: Clinical experience and functional assessment of donor site. Plast Reconstr Surg 107 (2001) 1766
40. Hong J.P., Shin H.W., Kim J.J., et al. The use of anterolateral thigh perforator flaps in chronic osteomyelitis of the lower extremity. Plast Reconstr Surg 115 (2005) 142
41. Salgado C.J., Mardini S., Jamali A.A., et al. Muscle versus nonmuscle flaps in the reconstruction of chronic osteomyelitis defects. Plast Reconstr Surg 118 (2006) 1401
42. Calderon W., Chang N., and Mathes S.J. Comparison of the effect of bacterial inoculation in musculocutaneous and fasciocutaneous flaps. Plast Reconstr Surg 77 (1986) 5
43. Thiele B.L., and Strandness Jr. D.E. Accuracy of angiographic quantification of peripheral atherosclerosis. Prog Cardiovasc Dis 26 (1983) 223-236
44. Sumner D.S., and Strandness D.E. Aortoiliac reconstruction in patients with combined iliac and superficial femoral arterial occlusion. Surgery 84 (1978) 348-355
45. Mazzariol F., Ascher E., Hingorani A., et al. Lower-extremity revascularisation without preoperative contrast arteriography in 185 cases: lessons learned with duplex ultrasound arterial mapping. Eur J Vasc Endovasc Surg 19 (2000) 509-515
46. Quinodoz P., Lanfrey E., Grolleau J.L., et al. Saphenous vascular loop technique in the treatment of lower limb defects. Report of five cases. Ann Chir Plast Esthet 43 (1998) 264-268
47. Freedmann A.M., and Meland N.B. Arteriovenous shunts in free vascularized tissue transfer for extremity reconstruction. Ann Plast Surg 23 (1989) 123-128