用吲哚菁绿评估皮瓣蒂和后续穿孔器与穿孔器吻合术挽救大腿前外侧（ALT）皮瓣

IF 1.5 Q3 SURGERY

JPRAS Open Pub Date : 2024-10-16 DOI:10.1016/j.jpra.2024.10.001

Petko Shtarbanov , Nianhe Luo , Ahmed Yassin , Dariush Nikkhah

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引用次数: 0

摘要

吲哚菁绿（ICG）荧光血管造影术已成为一种术中方法，用于准确评估皮瓣手术中组织血管的实时性、灌注和吻合口的通畅性。我们展示了一例使用游离大腿前外侧皮瓣为老年患者进行肘部重建的复杂病例，该病例依靠术中 ICG 评估皮瓣蒂和绘制动脉闭塞部位图。在切除病变血管部位后，采用超显微外科器械进行了复杂的穿孔器与穿孔器吻合术。在已知有手术风险的患者身上进行这些独特的应用，可以立即挽救皮瓣，术后 6 个月后，皮瓣仍然健康，伤口充分愈合。

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Salvage of anterolateral thigh (ALT) flap with indocyanine green assessment of a flap pedicle and subsequent perforator-to-perforator anastomosis

Indocyanine green (ICG) fluorescence angiography has emerged as an intraoperative method to accurately assess real-time tissue vascularity, perfusion and anastomotic patency in flap surgery. We illustrate a complex case of elbow reconstruction in an elderly patient with a free anterolateral thigh flap, which relied on intraoperative ICG to evaluate the flap pedicle and map the site of arterial occlusion. Supermicrosurgical instrumentation was employed to perform complex perforator-to-perforator anastomosis following resection of the vascular site of the lesion. These unique applications in a patient of known surgical risk enabled immediate flap salvage, and after 6 months postoperatively, the flap remained healthy with adequate wound healing.

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来源期刊

JPRAS Open Medicine-Surgery

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： JPRAS Open is an international, open access journal dedicated to publishing case reports, short communications, and full-length articles. JPRAS Open will provide the most current source of information and references in plastic, reconstructive & aesthetic surgery. The Journal is based on the continued need to improve surgical care by providing highlights in general reconstructive surgery; cleft lip, palate and craniofacial surgery; head and neck surgery; skin cancer; breast surgery; hand surgery; lower limb trauma; burns; and aesthetic surgery. The Journal will provide authors with fast publication times.