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Park SH, Choi WY, Son KM, et al. Direct Open Venous Drainage: An Alternative Choice for Flap Congestion Salvage. Arch Craniofac Surg. 2015;16(3):143-146doi: 10.7181/acfs.2015.16.3.143.
Park, S. H., Choi, W. Y., Son, K. M., Cheon, J. S., & Yang, J. Y. (2015). Direct Open Venous Drainage: An Alternative Choice for Flap Congestion Salvage. Archives of craniofacial surgery, 16(3), 143-146. https://doi.org/10.7181/acfs.2015.16.3.143
Park, Su Han, et al. "Direct Open Venous Drainage: An Alternative Choice for Flap Congestion Salvage." Archives of craniofacial surgery vol. 16,3 (2015): 143-146. doi: https://doi.org/10.7181/acfs.2015.16.3.143
Park SH, Choi WY, Son KM, Cheon JS, Yang JY. Direct Open Venous Drainage: An Alternative Choice for Flap Congestion Salvage. Arch Craniofac Surg. 2015 Dec;16(3):143-146. doi: 10.7181/acfs.2015.16.3.143. Epub 2015 Dec 09. PMID: 28913240; PMCID: PMC5556784.
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Arch Craniofac Surg. 2015 Dec;16(3):143-146. doi: 10.7181/acfs.2015.16.3.143. Epub 2015 Dec 09.

Direct Open Venous Drainage: An Alternative Choice for Flap Congestion Salvage.

Archives of craniofacial surgery

Su Han Park, Woo Young Choi, Kyung Min Son, Ji Seon Cheon, Jeong Yeol Yang

Affiliations

  1. Department of Plastic and Reconstructive Surgery, Chosun University School of Medicine, Gwangju, Korea.

PMID: 28913240 PMCID: PMC5556784 DOI: 10.7181/acfs.2015.16.3.143

Abstract

In this report, we present a scalp defect reconstruction with lateral arm free flap. We highlight the difficulty in obtaining a recipient vein and the venous drainage managed through an open end of the donor vein. A 52-year-old woman presented with a pressure sore on the left scalp. A lateral arm free flap was transferred to cover this 8×6 cm defect. The arterial anastomosis was successful, but no recipient vein could be identified within the wound bed. Instead, we used a donor venous end for the direct open venous drainage. In order to keep this exposed venous end patent, we applied heparin-soaked gauze dressing to the wound. Also, the vein end was mechanically dilated and irrigated with heparin solution at two hour intervals. Along with fluid management and blood transfusion, this management was continued for the five days after the operation. The flap survived well without any complication. Through this case, we were able to demonstrate that venous congestion can be avoided by drainage of the venous blood through an open vessel without the use of leeches.

Keywords: Free tissue flaps; Heparin; Leeches; Salvage therapy

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

References

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