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《Chinese Journal of Practical Hand Surgery》 1999-01
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Disposal of the vascular pedicle in inflammatory scar of recipient region in reconstruction with free flap of anastomosed blood vessel

Xie Qingping, Tan Haitao , Rang Guirong. The Hospital Affiliat-ed to Guilin Medical College, 541002  
ve In the reconstruction with free flap of anastomosed blood vessel, correct judgment and disposal of the vascular pedicle in inflammatory scar tissue of recipient region will be advantageous to increase the rate of success of operation. Methods From July, 1995 to July, 1997,7 case reconstruction with free flap have been finished: In which the vascular pedicles of the recipient region in inflammatory scar tissue were disposed differently, including 1 cases of bridge cross, 3 cases of vascular grafting and 3 cases of vascalar anastomosis at normal area followed by enlarging debridement. Results The operations were all successful on their first without the postoperative vascular crisis. Conclusion The blood vessel pedicle of the recipient region of inflammatory scar caused by chronic infection can not be used to anastomse. The vascular anastomosis must be performed at the normal tissue area so as to increase the survival ratio of free flap and decrease the postoperative vascular crisis.
【CateGory Index】: R658
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