WORLD JOURNAL OF PLASTIC SURGERY
Wed, Jun 25, 2025
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Volume 7, Issue 3 (2018)
WJPS 2018, 7(3): 351-356 |
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Khoshnevis J, Dashti T, Ebrahimi M, Azargashb E, kalantarmotamedi M. Anastomosis of Free Flap Pedicle to Great Vessels. WJPS 2018; 7 (3) :351-356
URL: http://wjps.ir/article-1-421-en.html
URL: http://wjps.ir/article-1-421-en.html
Jalaluddin Khoshnevis *1 
, Terifeh Dashti2 , Mohamad Ebrahimi3 , Eznillah Azargashb4 , Mohamadreza Kalantarmotamedi3
, Terifeh Dashti2 , Mohamad Ebrahimi3 , Eznillah Azargashb4 , Mohamadreza Kalantarmotamedi3
1- Shohada-e-Tajrish Medical Center,Shahid Beheshti University of Medical Sciences.Tehran, Iran , khoshnevis.j@gmail.com
2- Clinical Research Development Center of Shohada-Tajrish Hospital. Shahid Beheshti University of Medical Sciences.Tehran, Iran
3- Shohada-e-Tajrish Medical Center,Shahid Beheshti University of Medical Sciences.Tehran, Iran
4- Shahid Beheshti University of Medical Sciences and Health Services, Shohada- Tajrish Hospital, Tehran, Iran.
2- Clinical Research Development Center of Shohada-Tajrish Hospital. Shahid Beheshti University of Medical Sciences.Tehran, Iran
3- Shohada-e-Tajrish Medical Center,Shahid Beheshti University of Medical Sciences.Tehran, Iran
4- Shahid Beheshti University of Medical Sciences and Health Services, Shohada- Tajrish Hospital, Tehran, Iran.
Abstract: (4173 Views)
BACKGROUND
Free Flaps are viable option to cover the tissue defect. Pedicle anastomosis to vessel branches has excellent result. In some situations which there is a possibility of flap failure like shortage of vessel branches, possibility of pedicle kinking or need to vein graft, anastomosis to great vessels is justified.
METHODS
Six patients were allocated to study. Five cases for free jejunal flap and one case for free latissimus flap. In free jejunal flap group, pedicle anastomosis was performed as an end-side fashion to common carotid artery and internal jugular vein and in free latissimus flap, pedicle was anastomosed as an end-side fashion to superficial femoral artery and superficial femoral vein. Follow up was regular up to 20 years.
RESULTS
In free jejunal flap group, there were three female and two male with age from 30 to 59 years. The sixth case was a thirteen years old male with flexion contracture of right knee who underwent free latissimus flap. Follow up was regular for 20 years. All flaps survived, and good functional result was obtained in all except one.
CONCLUSION
Choosing great vessels as one side of anastomosis is safe and can be done as a primary approach due to technical demand or as a final resort when there is shortage of side branches.
Free Flaps are viable option to cover the tissue defect. Pedicle anastomosis to vessel branches has excellent result. In some situations which there is a possibility of flap failure like shortage of vessel branches, possibility of pedicle kinking or need to vein graft, anastomosis to great vessels is justified.
METHODS
Six patients were allocated to study. Five cases for free jejunal flap and one case for free latissimus flap. In free jejunal flap group, pedicle anastomosis was performed as an end-side fashion to common carotid artery and internal jugular vein and in free latissimus flap, pedicle was anastomosed as an end-side fashion to superficial femoral artery and superficial femoral vein. Follow up was regular up to 20 years.
RESULTS
In free jejunal flap group, there were three female and two male with age from 30 to 59 years. The sixth case was a thirteen years old male with flexion contracture of right knee who underwent free latissimus flap. Follow up was regular for 20 years. All flaps survived, and good functional result was obtained in all except one.
CONCLUSION
Choosing great vessels as one side of anastomosis is safe and can be done as a primary approach due to technical demand or as a final resort when there is shortage of side branches.
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