Microscopic Retrograde Great Saphenous Vein Supercharge Anastomosis to Overcome Propeller Flap Congestion in Lower Limb Defect Reconstruction: A Case Report
Reconstruction of lower limb defects can be challenging, especially when local flaps are not feasible. While free flaps are an effective option, they are time-consuming and may not be suitable for inflamed areas. Perforator-based flaps, including propeller flaps, serve as viable alternatives to fre...
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Tehran University of Medical Sciences
2025-05-01
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| Series: | Acta Medica Iranica |
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| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/11483 |
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| author | Ali Yavari Hesam Amini |
| author_facet | Ali Yavari Hesam Amini |
| author_sort | Ali Yavari |
| collection | DOAJ |
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Reconstruction of lower limb defects can be challenging, especially when local flaps are not feasible. While free flaps are an effective option, they are time-consuming and may not be suitable for inflamed areas. Perforator-based flaps, including propeller flaps, serve as viable alternatives to free flaps. However, venous congestion remains the most common complication associated with propeller flaps, and venous supercharging is a technique that can help mitigate this issue. This report presents a case of a 28-year-old patient with a severe knee injury who was treated using a propeller flap. The great saphenous vein was included in the flap and clipped proximally. After flap dissection, the flap was propelled to the defect, with the clipped end of the saphenous vein located at the proximal of lower limb. An anastomosis was performed between the proximally clipped end of the saphenous vein and the distal end of the saphenous vein at the proximal part of the lower limb to prevent venous congestion and ensure venous drainage in a retrograde direction (from proximal to distal). Propeller-based flaps are an excellent choice for reconstructing lower limb defects. Retrograde microscopic anastomosis of the great saphenous vein can effectively prevent venous congestion.
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| format | Article |
| id | doaj-art-98d0acf7cc70430789e60ddd6deff650 |
| institution | OA Journals |
| issn | 0044-6025 1735-9694 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj-art-98d0acf7cc70430789e60ddd6deff6502025-08-20T02:05:10ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942025-05-0163110.18502/acta.v63i1.18595Microscopic Retrograde Great Saphenous Vein Supercharge Anastomosis to Overcome Propeller Flap Congestion in Lower Limb Defect Reconstruction: A Case ReportAli Yavari0Hesam Amini11 Department of Plastic and Reconstructive Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran .Department of Thoracic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Reconstruction of lower limb defects can be challenging, especially when local flaps are not feasible. While free flaps are an effective option, they are time-consuming and may not be suitable for inflamed areas. Perforator-based flaps, including propeller flaps, serve as viable alternatives to free flaps. However, venous congestion remains the most common complication associated with propeller flaps, and venous supercharging is a technique that can help mitigate this issue. This report presents a case of a 28-year-old patient with a severe knee injury who was treated using a propeller flap. The great saphenous vein was included in the flap and clipped proximally. After flap dissection, the flap was propelled to the defect, with the clipped end of the saphenous vein located at the proximal of lower limb. An anastomosis was performed between the proximally clipped end of the saphenous vein and the distal end of the saphenous vein at the proximal part of the lower limb to prevent venous congestion and ensure venous drainage in a retrograde direction (from proximal to distal). Propeller-based flaps are an excellent choice for reconstructing lower limb defects. Retrograde microscopic anastomosis of the great saphenous vein can effectively prevent venous congestion. https://acta.tums.ac.ir/index.php/acta/article/view/11483Propeller flapRetrograde venous superchargeMicroscopic anastomosisLower limb congestion |
| spellingShingle | Ali Yavari Hesam Amini Microscopic Retrograde Great Saphenous Vein Supercharge Anastomosis to Overcome Propeller Flap Congestion in Lower Limb Defect Reconstruction: A Case Report Acta Medica Iranica Propeller flap Retrograde venous supercharge Microscopic anastomosis Lower limb congestion |
| title | Microscopic Retrograde Great Saphenous Vein Supercharge Anastomosis to Overcome Propeller Flap Congestion in Lower Limb Defect Reconstruction: A Case Report |
| title_full | Microscopic Retrograde Great Saphenous Vein Supercharge Anastomosis to Overcome Propeller Flap Congestion in Lower Limb Defect Reconstruction: A Case Report |
| title_fullStr | Microscopic Retrograde Great Saphenous Vein Supercharge Anastomosis to Overcome Propeller Flap Congestion in Lower Limb Defect Reconstruction: A Case Report |
| title_full_unstemmed | Microscopic Retrograde Great Saphenous Vein Supercharge Anastomosis to Overcome Propeller Flap Congestion in Lower Limb Defect Reconstruction: A Case Report |
| title_short | Microscopic Retrograde Great Saphenous Vein Supercharge Anastomosis to Overcome Propeller Flap Congestion in Lower Limb Defect Reconstruction: A Case Report |
| title_sort | microscopic retrograde great saphenous vein supercharge anastomosis to overcome propeller flap congestion in lower limb defect reconstruction a case report |
| topic | Propeller flap Retrograde venous supercharge Microscopic anastomosis Lower limb congestion |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/11483 |
| work_keys_str_mv | AT aliyavari microscopicretrogradegreatsaphenousveinsuperchargeanastomosistoovercomepropellerflapcongestioninlowerlimbdefectreconstructionacasereport AT hesamamini microscopicretrogradegreatsaphenousveinsuperchargeanastomosistoovercomepropellerflapcongestioninlowerlimbdefectreconstructionacasereport |