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- Title
Cephalic Vein Supercharging to Prevent Venous Congestion for a Reverse Radial Forearm Flap Used in the Reconstruction of Dorsum of Hand: A Case Report.
- Authors
Jong-Lim Kim; Jae Young Chun; Nae-Ho Lee; Jin Yong Shin; Si-Gyun Roh
- Abstract
The reverse radial forearm flap is often co-opted for soft tissue reconstruction of the dorsum of hand. Venous congestion can lead to flap necrosis or failure. To improve dorsum hand reconstruction outcomes, sufficient venous drainage is very important. In this case report, we discuss the situation of a 66-year-old male patient with a serious degloving injury on the dorsum of his right hand. After reverse radial forearm flap adaptation, venous anastomosis between the cephalic vein and the dorsal superficial vein was performed prophylactically and the patient recovered well without congestion or complications. We implemented venous supercharging, which is a relatively easy and simple procedure, to prevent venous congestion. The success of the procedure shows that venous supercharging can aid in the prevention of venous congestion.
- Subjects
HAND injuries; SURGICAL flaps; HAND surgery
- Publication
Archives of Hand & Microsurgery, 2021, Vol 26, Issue 3, p193
- ISSN
2586-3290
- Publication type
Article
- DOI
10.12790/ahm.21.0087