원위부를 기초로 한 도서형 정맥 피판의 임상적 응용 = CLINICAL APPLICATION OF DISTALLY PEDICLED VENOUS ISLAND FLAP

다국어 초록 (Multilingual Abstract)

Skin flaps are characterised by arterial inflow and venous outflow. Since Baek et al(1985) demonstrated experimentally the possibility of raising a flap based only on a single vein surviving without arterial inflow, experimental and clinical attempts in using the 'flow through' venous flap, proximally pedicled venous flap, and distally pedicled venous flap have been performed and developed.
In our study, five flaps with only a distal venous pedicle were carried out; two saphenous venous flap, one cephalic venous flap, one external jugular venous flap, and one dorsal venous flap of hand. Four of these five survived completely without complication but only the external jugular venous flap showed partial necrosis.
These flaps are useful because of almost infinite donor site, quicker and simpler technique than free flap, and little donor site morbidity. Further studies are required for improved survival rate of venous flap.