Reliability of Long Vein Grafts for Reconstruction of Massive Wounds

When handling large wounds, zone of injury is a key concept in reconstructive microsurgery, as it pertains to the selection recipient vessels. Historically, surgeons have avoided placing microvascular anastomosis within widely traumatized, inflamed, or radiated fields. The harvest vein grafts facilitates reconstruction complex cases by extending arterial and/or venous pedicle length. To illustrate utility and fidelity these techniques, this paper reviews indications outcomes for grafting ten consecutive patients at single tertiary referral center hospital. case series presented unique three aspects. First, there are two successful coaptation flap artery side limb an arteriovenous loop. Second, proportion where were used elongate pedicle. In 10 cases, mean graft length was 37 cm. We observed zero failures amputations. Although limited sample size, data support efficacy reliability long segment centers.