Salvage of a ''free flap'' phalloplasty by distal arteriovenous fistula: Case report

被引:17
|
作者
Hage, JJ
Winters, HAH
机构
[1] Dept. of Plast. and Reconstr. Surg., Academic Hospital, Free University, Amsterdam
[2] Dept of Plast. and Reconstr. Surgery, Academic Hospital, Free University, NL-1007 MB Amsterdam
关键词
D O I
10.1055/s-2007-1006486
中图分类号
R61 [外科手术学];
学科分类号
摘要
Radial forearm-flap sensate free-flap phalloplasty was performed in a 32-year-old female-to-male transsexual. An arteriovenous loop was created by end-to-side anastomosis of the left greater saphenous vein to the femoral artery at the level of the femoral triangle. On the first postoperative day, the neophallus showed signs of impaired circulation, and a recent thrombus was removed from the venous pedicle. A distal fistula between the radial artery and a superficial vein was created, converting this possibly low-flow flap to a high-flow system. The flap could be salvaged entirely. Taking the well-recognized, long-term complications of arteriovenous fistulas into account, the authors do not recommend routine use of such a distal fistula. Still, in cases where Vascular patency of the venous graft is shown not to be adequate, an adjunctive arteriovenous fistula created distally may salvage the flap.
引用
收藏
页码:279 / 282
页数:4
相关论文
共 50 条
  • [21] Salvage of the nonfunctioning arteriovenous fistula
    Beathard, GA
    Settle, SM
    Shields, MW
    AMERICAN JOURNAL OF KIDNEY DISEASES, 1999, 33 (05) : 910 - 916
  • [22] A new phalloplasty technique: the free anterolateral thigh flap phalloplasty
    Felici, N
    Felici, A
    JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2006, 59 (02): : 153 - 157
  • [24] INNOMINATE ARTERIOVENOUS FISTULA - REPORT OF A CASE
    BELCHER, JR
    BRITISH JOURNAL OF SURGERY, 1957, 44 (188) : 627 - 628
  • [25] Arteriovenous fistula of the mandible: a case report
    Todaro, Mattia
    Pashaj, Ermal
    Pedicelli, Alessandro
    Alexandre, Andrea
    Saponaro, Gianmarco
    Gasparini, Giulio
    Moro, Alessandro
    ORAL RADIOLOGY, 2024, 40 (04) : 555 - 560
  • [26] SPLENIC ARTERIOVENOUS FISTULA - A CASE REPORT
    SHAH, VV
    MEHTALIA, SD
    SHAH, KD
    KRISHMAN, PS
    HANSOTI, RC
    ANGIOLOGY, 1967, 18 (01) : 23 - +
  • [27] Uterine arteriovenous fistula: case report
    Liana, P.
    Sima, R.
    Dorobat, B.
    Cirstoiu, M.
    ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2023, 62 : 274 - 275
  • [28] POSTCOLECTOMY ARTERIOVENOUS FISTULA - REPORT OF A CASE
    CURRIN, JF
    METCALF, BH
    AMERICAN JOURNAL OF GASTROENTEROLOGY, 1966, 46 (04): : 352 - &
  • [30] Arteriovenous Fistula Stenosis : A Case Report
    Widasmara, Seprian
    Kurnianingsih, Novi
    EUROPEAN HEART JOURNAL SUPPLEMENTS, 2019, 21 (0F) : F140 - F140