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논문 기본 정보

자료유형
학술저널
저자정보
Park, Su Han (Department of Plastic and Reconstructive Surgery, Chosun University School of Medicine) Choi, Woo Young (Department of Plastic and Reconstructive Surgery, Chosun University School of Medicine) Son, Kyung Min (Department of Plastic and Reconstructive Surgery, Chosun University School of Medicine) Cheon, Ji Seon (Department of Plastic and Reconstructive Surgery, Chosun University School of Medicine) Yang, Jeong Yeol (Department of Plastic and Reconstructive Surgery, Chosun University School of Medicine)
저널정보
대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제16권 제3호
발행연도
2015.1
수록면
143 - 146 (4page)

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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 $8{\times}6cm$ 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.

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