Free Grafts and Microvascular Anastomoses

• Autores: Valery F. Scharf
• Localización: Veterinary Clinics of North America: Small Animal Practice: Small Animal Practice, ISSN-e 0195-5616, Vol. 47, Nº. 6, 2017, págs. 1249-1262
• Idioma: inglés
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• Resumen

  • Skin grafts are classified by their morphology and source and rely on healthy vascularity of the recipient bed.

    Engraftment or “graft take” is the process of integration of the graft and consists of adherence, plasmatic imbibition, inosculation, and vascular ingrowth.

    Free skin flaps are developed from described axial pattern flaps and use microvascular anastomoses to reattach the flap’s direct cutaneous vessels to recipient vessels near a distant wound.

    Skin grafts and free skin flaps are useful ways of closing wounds in which local flaps or primary closure are not feasible, such as distal extremity defects or large wounds on the trunk.

    Successful engraftment requires careful atraumatic technique, proper recipient bed preparation, and diligent postoperative monitoring and bandaging.