Cirugía Plástica Ibero-Latinoamericana
Print version ISSN 0376-7892
FERNANDEZ GARCIA, A.; FERNANDEZ PASCUAL, C.; MORENO VILLALBA, R.A. and GERRERO NAVARRO, Ll.. Supplementary drainage of superficial venous system in pedicled flaps. Cir. plást. iberolatinoam. [online]. 2012, vol.38, n.2, pp.125-135. ISSN 0376-7892. http://dx.doi.org/10.4321/S0376-78922012000200004.
The pedicled flaps can suffer edema and congestion due to the impossibility of drainage toward the superficial venous system and the precarious flow via the deep system at the level of the pedicle. The evolution of this situation is usually partial necrosis or total loss of the flap in a few hours. The opening of the venous superficial system achieves an appropriate drainage of the transfered tissues and avoids these complications. In this article we analyze the role of the microsurgical anastomosis at the level of the superficial venous system of pedicled flaps. This technique allows to communicate the superficial venous system of the transfered tissues with the superficial venous system of the territory around the defect. We report the results with this method in propeller perforator flaps, miocutaneous flaps, neurocutaneous flaps and adipofascial turn over flaps.
Keywords : Microsurgery; Pedicled flaps; Superdrainage.