Strategies for recognizing and managing intraoperative venous congestion in abdominally based autologous breast reconstruction.

@article{Sbitany2012StrategiesFR,
  title={Strategies for recognizing and managing intraoperative venous congestion in abdominally based autologous breast reconstruction.},
  author={Hani Sbitany and Michael N. Mirzabeigi and Stephen J. Kovach and Liza C. Wu and Joseph M. Serletti},
  journal={Plastic and reconstructive surgery},
  year={2012},
  volume={129 4},
  pages={809-15}
}
BACKGROUND Despite common superficial venous system dominance of the abdominal wall, the majority of transverse rectus abdominis musculocutaneous (TRAM)/deep inferior epigastric perforator (DIEP) flaps drain adequately, due to communicating veins with the deep system. In cases where such connections are inadequate, it is necessary for the surgeon to correctly recognize resultant congestion as an intrinsic flap issue, and treat it intraoperatively. METHODS A retrospective analysis of 1201… CONTINUE READING
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