Table 2.
Case | Surgery | Flap Vascular Supply | Flap | Donor Vessels | Recipient Vessels | Ischemia Time | Anas-tomosis | Defect Size | Perioperative Complications |
---|---|---|---|---|---|---|---|---|---|
1 | BKA | Pedicled | Distal lower leg and foot fillet flap | Anterior and posterior tibial | Pedicled | None | Pedicled | Not recorded | None |
1F | Hemipelvectomy | Free | Right thigh soft tissue | Femoral artery and vein | Common iliac artery and vein | 2+ hs | End to end (1 cm in diameter) |
16 × 20 cm | Massive transfusion protocol, venous thrombosis |
2 | Forequarter | Pedicled | Right forearm fillet flap | Brachial artery | Pedicled | None | Pedicled | 33 × 42 cm | None |
2F | Forequarter | Free | Right arm fillet flap | Brachial artery and veins (venae comitantes) | Lingual artery and anterior cervical vein | 2+ h | End to side (4 mm in diameter) |
17 × 25 cm | Massive transfusion protocol, coagulopathy, flap failure—arterial and venous thrombosis |
3 | Forequarter | Pedicled | Trapezius | Distal blood supply | Pedicled | None | Pedicled | 60 × 30 cm | None |
3F | Hemipelvectomy | Free | Right lower leg fillet flap | Femoral artery and vein | Subclavian artery and vein | 50 min | End to side subclavian (1 cm in diameter) |
25 × 20 cm | Massive transfusion protocol, kinking of the femoral vein in the subcutaneous tunnel |
4 | Hemipelvectomy | Pedicled | Lower leg filet | Femoral artery and vein | Pedicled | None | Pedicled | 52 × 21 cm | None |
4F | Hemipelvectomy | Free | Lower leg filet | Femoral artery and vein | AV loop on contralateral side | 50 min | End to end (4–5 mm diameter) | 16 × 20 cm | Massive transfusion protocol. Postoperative day 0—PEA, clamping the vessels supplying the flap |