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Perforator artery repair in revascularization of extremity degloving injuries
- Publication Year :
- 2019
- Publisher :
- Elsevier Ltd, 2019.
-
Abstract
- Introduction This article aims to expand the microsurgical treatment options for extremity degloving injuries with perforator artery repairs of the specific degloved angiosomes in upper and lower extremity. Methods Fourteen perforator arteries were repaired in seven patients. Four of them had circumferential degloving and 3 of them have non circumferential degloving injury. All had repair of the perforator arteries of the specific degloved segments. Four patients had additional vein repairs but none of the patients had AV shunts. Results All perforators provided adequate arterial supply to their specific angiosomes with some necrotic areas in neighboring angiosomes. Conclusions Perforator artery repair within the degloved tissues provides a direct arterial supply successfully even if one could not find an intact venous plexus.
- Subjects :
- Adult
Male
Microsurgery
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Revascularization
Ulnar Artery
Young Adult
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Vein
Degloving Injuries
Aged
General Environmental Science
030222 orthopedics
Degloving
business.industry
Extremities
030208 emergency & critical care medicine
Venous plexus
Skin Transplantation
Middle Aged
medicine.disease
Microsurgical treatment
Surgery
Treatment Outcome
medicine.anatomical_structure
Radial Artery
General Earth and Planetary Sciences
Female
Vascular Grafting
business
Perforator Flap
Artery repair
Artery
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....aa47148a0b7ba71bc7969a7021942fb3