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Scapular Fasciocutaneous Flap Images

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Defect.
VID 954, frame 1

flaP4001

 

Doppler.
VID 954, frame 2

flaP4040

 

Outline of flap.
VID 954, frame 3

flaP4002

 

Doppler of cutaneous branch.
VID 954, frame 4

flaP4041

 

Scapular vascular anatomy.
VID 954, frame 5

flaG4003

 

Anterior scapula.
VID 954, frame 6

flaG4003

 

Circumflex scapular.
VID 954, frame 7

flaG4004

 

Posterior scapula.
VID 954, frame 8

flaG4005

 

Table setup.
VID 954, frame 9

flaP4006

 

Lavage.
VID 954, frame 10

flaP4043

 

Skin paddle.
VID 954, frame 11

flaP4044

 

Cutaneous branch.
VID 954, frame 12

flaP4045

 

Transverse branch.
VID 954, frame 13

flaP4007

 

Completion of skin incision.
VID 954, frame 14

flaP4046

 

Cutaneous branch dissected.
VID 954, frame 15

flaP4047

 

Cutaneous branch.
VID 954, frame 16

flaP4022

 

Palpating pedicle.
VID 954, frame 17

flaP4009

 

Circumflex scapular art.
VID 954, frame 18

flaP4010

 

Descending branch.
VID 954, frame 19

flaP4011

 

Flap pedicle.
VID 954, frame 20

flaP4012

 

Debrided leg.
VID 954, frame 21

flaP4013

 

Posterior tibial artery marked.
VID 954, frame 22

flaP4048

 

Incision over posterior tibial.
VID 954, frame 23

flaP4049

 

Doppler subfascial.
VID 954, frame 24

flaP4050

 

Deep fascia incised.
VID 954, frame 25

flaP4051

 

Posterior tibial nuerovascular bundle.
VID 954, frame 26

flaP4014

 

Vascular dissection.
VID 954, frame 27

flaP4052

 

Nerve.
VID 954, frame 28

flaP4053

 

Mobilized posterior tibial vessels.
VID 954, frame 29

flaP4054

 

Vessel loops.
VID 954, frame 30

flaP4055

 

Vessel loops.
VID 954, frame 31

flaP4015

 

Adventitia.
VID 954, frame 32

flaP4056

 

Mobilized flap.
VID 954, frame 33

flaP4057

 

Descending branch.
VID 954, frame 34

flaP4058

 

Isolated descending branch.
VID 954, frame 35

flaP4059

 

Branches.
VID 954, frame 36

flaP4060

 

Descending branch divided.
VID 954, frame 37

flaP4061

 

Pedicle.
VID 954, frame 38

flaP4062

 

Doppler transverse branch.
VID 954, frame 39

flaP4063

 

Long pedicle.
VID 954, frame 40

flaP4064

 

Mobilized flap.
VID 954, frame 41

flaP4016

 

Artery and vein separated.
VID 954, frame 42

flaP4065

 

Flap out laterally.
VID 954, frame 43

flaP4017

 

Flap.
VID 954, frame 44

flaP4018

 

Microscope.
VID 954, frame 45

flaP4066

 

Microscope in position.
VID 954, frame 46

flaP4019

 

Flap prior to cutting.
VID 954, frame 47

flaP4020

 

Flap excised.
VID 954, frame 48

flaP4021

 

Irrigation of flap vessels.
VID 954, frame 49

flaP4067

 

Flap positioned.
VID 954, frame 50

flaP4068

 

Pedicle vessels.
VID 954, frame 51

flaP4069

 

Isolated posterior tibial vein.
VID 954, frame 52

flaP4008

 

Vein sizer.
VID 954, frame 53

flaP4070

 

Coupler.
VID 954, frame 54

flaP4023

 

Ring set.
VID 954, frame 55

flaP4071

 

Guard clamps.
VID 954, frame 56

flaP4072

 

Pedicle vein end.
VID 954, frame 57

flaP4073

 

Vein end everted.
VID 954, frame 58

flaP4074

 

Coupler closed.
VID 954, frame 59

flaP4075

 

Rings tightened.
VID 954, frame 60

flaP4076

 

Carrier removed.
VID 954, frame 61

flaP4077

 

Completed venous coupling.
VID 954, frame 62

flaP4024

 

Close-up of coupled rings.
VID 954, frame 63

flaP4025

 

Artery positioned.
VID 954, frame 64

flaP4026

 

Adventitia teased.
VID 954, frame 65

flaP4078

 

Prepared artery end.
VID 954, frame 66

flaP4027

 

Artery dilated.
VID 954, frame 67

flaP4079

 

Arteriotomy.
VID 954, frame 68

flaP4080

 

Artery irrigated.
VID 954, frame 69

flaP4081

 

Heel stitch.
VID 954, frame 70

flaP4082

 

Toe stitch.
VID 954, frame 71

flaP4028

 

Corner stitched.
VID 954, frame 72

flaP4029

 

Completed front wall.
VID 954, frame 73

flaP4030

 

Flap flipped up.
VID 954, frame 74

flaP4083

 

Lumen irrigated.
VID 954, frame 75

flaP4084

 

Back wall sutures.
VID 954, frame 76

flaP4085

 

Completed back wall.
VID 954, frame 77

flaP4031

 

Artery unclamped.
VID 954, frame 78

flaP4086

 

Completed anastomoses.
VID 954, frame 79

flaP4087

 

Pedicle.
VID 954, frame 80

flaP4088

 

Doppler.
VID 954, frame 81

flaP4089

 

Venous Doppler.
VID 954, frame 82

flaP4032

 

Doppler flap.
VID 954, frame 83

flaP4033

 

Two completed anastomoses.
VID 954, frame 84

flaP4034

 

Flow probe.
VID 954, frame 85

flaP4090

 

Flap positioned.
VID 954, frame 86

flaP4091

 

Incision closed.
VID 954, frame 87

flaP4092

 

Flap trimmed.
VID 954, frame 88

flaP4093

 

Bleeding.
VID 954, frame 89

flaP4035

 

Bleeding.
VID 954, frame 90

flaP4094

 

Flap sutured.
VID 954, frame 91

flaP4095

 

Proximal side of flap.
VID 954, frame 92

flaP4096

 

Final skin sutures.
VID 954, frame 93

flaP4097

 

Completed flap.
VID 954, frame 94

flaP4098

 

Final flap.
VID 954, frame 95

flaP4036

 

Skin undermined.
VID 954, frame 96

flaP4099

 

Test approximation.
VID 954, frame 97

flaP4037

 

Closed suction drain.
VID 954, frame 98

flaP4038

 

Staples.
VID 954, frame 99

flaP4100

 

Dermal sutures.
VID 954, frame 100

flaP4101

 

Subcutaneous closure.
VID 954, frame 101

flaP4039

 

Blanching.
VID 954, frame 102

flaP4102

 

Window.
VID 954, frame 103

flaP4103

 

Medial view, 6w f/u.
VID 954, frame 104

flaP4237

 

Posterior view.
VID 954, frame 105

flaP4238

 

Right posterior oblique view.
VID 954, frame 106

flaP4239

 

This page was last modified on 4/29/2003.
 

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