Recipient Vessel Dissection Technique in Diabetic Foot Patients with Perivascular Fibrosis
Diabetic foot ulcers are becoming more prevalent, and microsurgical free flaps are gaining popularity in salvaging the foot after postdebridement. The perivascular fibrosis around the recipient vessels often makes the dissection of vessels difficult. In this article, we describe a technique of disse...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-12-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1775870 |
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| author | Madhu Periasamy Vamseedharan Muthukumar Hari Venkatramani S. Raja Sabapathy |
| author_facet | Madhu Periasamy Vamseedharan Muthukumar Hari Venkatramani S. Raja Sabapathy |
| author_sort | Madhu Periasamy |
| collection | DOAJ |
| description | Diabetic foot ulcers are becoming more prevalent, and microsurgical free flaps are gaining popularity in salvaging the foot after postdebridement. The perivascular fibrosis around the recipient vessels often makes the dissection of vessels difficult. In this article, we describe a technique of dissection in such situations where fibrosis and dissection of vessels are fraught with danger. In the period from November 2020 to May 2023, 72 free flap reconstructions of the diabetic foot were done at our institute using this technique, with a success rate of 95.8%. |
| format | Article |
| id | doaj-art-9ac4386750e2497ab8aac32055aed613 |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-9ac4386750e2497ab8aac32055aed6132025-08-20T03:36:53ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2023-12-01560652652710.1055/s-0043-1775870Recipient Vessel Dissection Technique in Diabetic Foot Patients with Perivascular FibrosisMadhu Periasamy0Vamseedharan Muthukumar1https://orcid.org/0000-0002-8355-1005Hari Venkatramani2S. Raja Sabapathy3Division of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDivision of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDivision of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDivision of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDiabetic foot ulcers are becoming more prevalent, and microsurgical free flaps are gaining popularity in salvaging the foot after postdebridement. The perivascular fibrosis around the recipient vessels often makes the dissection of vessels difficult. In this article, we describe a technique of dissection in such situations where fibrosis and dissection of vessels are fraught with danger. In the period from November 2020 to May 2023, 72 free flap reconstructions of the diabetic foot were done at our institute using this technique, with a success rate of 95.8%.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1775870vesseldissectionperivascular fibrosisfree flapmicrosurgerydabetic footreconstruction |
| spellingShingle | Madhu Periasamy Vamseedharan Muthukumar Hari Venkatramani S. Raja Sabapathy Recipient Vessel Dissection Technique in Diabetic Foot Patients with Perivascular Fibrosis Indian Journal of Plastic Surgery vessel dissection perivascular fibrosis free flap microsurgery dabetic foot reconstruction |
| title | Recipient Vessel Dissection Technique in Diabetic Foot Patients with Perivascular Fibrosis |
| title_full | Recipient Vessel Dissection Technique in Diabetic Foot Patients with Perivascular Fibrosis |
| title_fullStr | Recipient Vessel Dissection Technique in Diabetic Foot Patients with Perivascular Fibrosis |
| title_full_unstemmed | Recipient Vessel Dissection Technique in Diabetic Foot Patients with Perivascular Fibrosis |
| title_short | Recipient Vessel Dissection Technique in Diabetic Foot Patients with Perivascular Fibrosis |
| title_sort | recipient vessel dissection technique in diabetic foot patients with perivascular fibrosis |
| topic | vessel dissection perivascular fibrosis free flap microsurgery dabetic foot reconstruction |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1775870 |
| work_keys_str_mv | AT madhuperiasamy recipientvesseldissectiontechniqueindiabeticfootpatientswithperivascularfibrosis AT vamseedharanmuthukumar recipientvesseldissectiontechniqueindiabeticfootpatientswithperivascularfibrosis AT harivenkatramani recipientvesseldissectiontechniqueindiabeticfootpatientswithperivascularfibrosis AT srajasabapathy recipientvesseldissectiontechniqueindiabeticfootpatientswithperivascularfibrosis |