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Date Published: 05/05/2025
Abstract Views: 223
Views pdf: 129
DOI: https://doi.org/10.51298/vmj.v549i3.13963
Issue
Vol. 549 No. 3 (2025)
Section
Các bài báo
How to Cite
Hoàng Tuấn, A., & Phan Văn, T. (2025). THE TREATMENT OF VENOUS CONGESTION OF THE SURAL FLAP: LITERATURE REVIEW AND CASE SERIES. Vietnam Medical Journal, 549(3). https://doi.org/10.51298/vmj.v549i3.13963

THE TREATMENT OF VENOUS CONGESTION OF THE SURAL FLAP: LITERATURE REVIEW AND CASE SERIES

Anh Hoàng Tuấn, Tân Phan Văn

Main Article Content

Abstract

Venous congestion is a common and serious complication in surgery using the distally based sural flap. This complication can lead to flap necrosis, affecting surgical outcomes and patient recovery time. This article provides an overview of the literature on the treatment of venous congestion in the distally based sural flap, including conservative and surgical treatment methods. We also present case series illustrating the successful treatment of venous congestion in the distally based sural flap by using flap vein catheter drainage, negative pressure wound therapy, and removing distal suture. The results show that timely and appropriate diagnosis and treatment can help save the flap and achieve good surgical results.

Article Details

Keywords

Venous congestion, sural flap, clinical cases

References

1. De Blacam C, Colakoglu S, Ogunleye AA, et al. Risk factors associated with complications in lower-extremity reconstruction with the distally based sural flap: A systematic review and pooled analysis. J Plast Reconstr Aesthet Surg. 2014;67(5): 607-616. doi:10.1016/j.bjps.2014. 01.044
2. Mojallal A, Wong C, Shipkov C, et al. Vascular Supply of the Distally Based Superficial Sural Artery Flap: Surgical Safe Zones Based on Component Analysis Using Three-Dimensional Computed Tomographic Angiography: Plast Reconstr Surg. 2010;126(4):1240-1252. doi:10. 1097/PRS.0b013e3181ead0e9
3. Torii S, Namiki Y, Hayashi Y, Wong ACW. Reverse-flow peroneal island flap for the reconstruction of leg and foot. Eur J Plast Surg. 1988;11(1):26-31. doi:10.1007/BF00294487
4. Schmidt K, Jakubietz M, Meffert R, Gilbert F, Jordan M, Jakubietz R. The reverse sural artery flap– How do modifications boost its reliability? A systematic analysis of the literature. JPRAS Open. 2020;26:1-7. doi:10.1016/j.jpra.2020.07.004
5. Sakakibara S, Hashikawa K, Omori M, Terashi H, Tahara S. A Simplest Method of Flap Monitoring. J Reconstr Microsurg. 2010;26(07): 433-434. doi:10.1055/s-0030-1251562
6. Hara H, Mihara M, Iida T, et al. Blood glucose measurement for flap monitoring to salvage flaps from venous thrombosis. J Plast Reconstr Aesthet Surg. 2012;65(5):616-619. doi:10.1016/j.bjps. 2011.11.026
7. Pérez Colman MC, Schauvinhold CF, Chavanne JM, Errea GF, Bou M, Ernst G. DIY Flap Monitoring: The Glucose Index. Plast Reconstr Surg - Glob Open. 2023;11(9):e5289. doi:10.1097/GOX.0000000000005289
8. Boissiere F, Gandolfi S, Riot S, et al. Flap Venous Congestion and Salvage Techniques: A Systematic Literature Review. Plast Reconstr Surg - Glob Open. 2021;9(1):e3327. doi:10.1097/ GOX.0000000000003327
9. Mozafari N, Ghazisaidi MR, Hosseini SN, Abdolzadeh M. Comparisons of medicinal leech therapy with venous catheterization in the treatment of venous congestion of the sural flap. Microsurgery. 2011;31(1):36-40. doi:10.1002/ micr.20827