Unexpected Vascular Compromise in Transverse Rectus Abdominis Musculocutaneous (TRAM) Flap ReconstructionA Report of Two Patients
作者:
Anne Wallace,
Gregory Evans,
Daniel Goldberg,
Bonnie Baldwin,
期刊:
Annals of Plastic Surgery
(OVID Available online 1996)
卷期:
Volume 36,
issue 3
页码: 246-250
ISSN:0148-7043
年代: 1996
出版商: OVID
数据来源: OVID
摘要:
Although the vascular anatomy of the transverse rectus abdominis musculocutaneous flap has been well described, poor flap perfusion can lead to partial or total flap ischemia. To minimize the potential for flap loss, criteria have been developed to identify those patients who are deemed to be high risk. Some of these high-risk patients include smokers and those with previous abdominal surgery, obesity, and/or poor medical health. Despite our diligence in patient and operative selection, 2 patients with no preexisting risk factors have recently had venous congestion of their transverse rectus abdominis musculocutaneous flap, necessitating a delayed procedure. The cases are presented here and the potential etiology for this venous congestion explored.
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