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1. 下肢の弁再建術flap reconstruction of the lower extremity [show details]
… distally based island flap, and can cover defects in the pretibial area . PAP flaps have been reported to have a higher rate of venous congestion than other flaps . PTAP flap is commonly… Muscle flaps such as the latissimus dorsi flap have a large surface area and are well vascularized. The use of perforator flaps (eg,…
2. 自家組織を用いる乳房再建術の選択肢options for autologous flap based breast reconstruction [show details]
… perforator flap for breast reconstruction is the DIEP flap The DIEP flap uses an island of skin and fat from the lower abdominal wall but spares the rectus abdominis muscle. Other perforator flaps include… Musculocutaneous flaps consist of a segment of vascularized muscle with the overlying skin and fat. Muscle-sparing (ie, perforator) flaps are the most commonly used…
3. 軟部組織再建術に用いるフラップの概要overview of flaps for soft tissue reconstruction [show details]
… Most local flaps can be performed under local anesthesia with or without sedation. Local flaps have the advantage of "like to like."… adequately vascularized throughout, and donor site morbidity should be kept to a minimum. The omental flap to the chest is an example of a distant pedicle flap while a free transverse rectus abdominis flap is…
4. 頭頸部癌患者における下顎および口蓋再建mandibular and palatal reconstruction in patients with head and neck cancer [show details]
… musculomucosal flap, made up of buccal mucosa and buccinator muscle, can also be used for lateral defects . The palatal island flap is another option as well . Regional flaps are an option… reconstruction, and each has inherent advantages and disadvantages . Free tissue transfer (free flaps) of vascularized bone grafts, with or without soft tissue, has become the gold standard of mandible reconstruction …
5. 皮膚や深部組織の褥瘡の外科的マネージメントsurgical management of pressure induced skin and soft tissue injuries [show details]
… of fasciocutaneous flaps. Muscle flap options include gluteus maximus rotation, advancement, islanding, or transverse-splitting partial gluteal flaps.… well-vascularized skin, and tension-free closure. The requisite bulk, padding, and wound coverage needed for closure of pressure-induced induced injuries are best provided by soft tissue flaps .…

Japanese Journal

症例逆行性peroneal flapにより断端皮膚欠損を再建したBoyd切断の2例

形成外科 54(9), 1047-1051, 2011-09
NAID 40018974450

示指基節部掌側からの血管柄付き島状皮弁を用いた母指皮膚欠損の再建

日本手の外科学会雑誌 = The journal of Japanese Society for Surgery of the Hand 23(5), 661-665, 2006-11-30
NAID 10031153761

Related Pictures

手の皮弁手術の実際

★リンクテーブル★

関連記事	「血管」「皮弁」「島状皮弁」

「血管」

　　[★]

英: blood vessel, blood vessels

図：M.28

構造

内膜

内皮細胞(単層扁平上皮細胞)
基底板
内皮下結合組織(内皮下層 subendothelial layer)：疎性結合組織、縦走平滑筋
内弾性板

中膜

平滑筋
外弾性板

外膜

結合組織に移行

動脈	内膜	中膜	外膜
弾性血管	内皮細胞(ワイベル・パラーデ小体を含む) 基底板内皮下層(少数の線維芽細胞、散在する平滑筋細胞、膠原線維) 不完全な内弾性板	40-70層の有窓性弾性板弾性板の間に存在する平滑筋細胞薄い弾性板外半分には脈管栄養細胞が分布	線維・弾性結合組織脈管栄養血管リンパ管神経細胞
筋性動脈	内皮細胞(ワイベル・パラーデ小体を含む) 基底板内皮下層(少数の線維芽細胞、散在する平滑筋細胞、膠原線維) 厚い内弾性板	40層に及ぶ平滑筋細胞層厚い外弾性板	薄い線維・弾性結合組織脈管栄養血管は著明でないリンパ管神経線維
細動脈	内皮細胞(ワイベル・パラーデ小体を含む) 基底板内皮下層：目立たない内弾性板はなく、弾性線維がある	1-2層の平滑筋細胞	疎性結合組織神経線維