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A D V E R T I S E M E N T | |||||
Scapular Fasciocutaneous Flap Images |
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Mark-Up |
Description / Link to Frame |
Full Size |
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Defect. |
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Doppler. |
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Outline of flap. |
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Doppler of cutaneous branch. |
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Scapular vascular anatomy. |
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Anterior scapula. |
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Circumflex scapular. |
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Posterior scapula. |
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Table setup. |
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Lavage. |
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Skin paddle. |
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Cutaneous branch. |
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Transverse branch. |
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Completion of skin incision. |
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Cutaneous branch dissected. |
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Cutaneous branch. |
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Palpating pedicle. |
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Circumflex scapular art. |
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Descending branch. |
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Flap pedicle. |
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Debrided leg. |
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Posterior tibial artery marked. |
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Incision over posterior tibial. |
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Doppler subfascial. |
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Deep fascia incised. |
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Posterior tibial nuerovascular bundle. |
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Vascular dissection. |
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Nerve. |
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Mobilized posterior tibial vessels. |
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Vessel loops. |
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Vessel loops. |
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Adventitia. |
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Mobilized flap. |
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Descending branch. |
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Isolated descending branch. |
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Branches. |
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Descending branch divided. |
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Pedicle. |
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Doppler transverse branch. |
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Long pedicle. |
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Mobilized flap. |
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Artery and vein separated. |
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Flap out laterally. |
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Flap. |
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Microscope. |
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Microscope in position. |
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Flap prior to cutting. |
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Flap excised. |
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Irrigation of flap vessels. |
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Flap positioned. |
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Pedicle vessels. |
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Isolated posterior tibial vein. |
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Vein sizer. |
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Coupler. |
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Ring set. |
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Guard clamps. |
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Pedicle vein end. |
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Vein end everted. |
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Coupler closed. |
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Rings tightened. |
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Carrier removed. |
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Completed venous coupling. |
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Close-up of coupled rings. |
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Artery positioned. |
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Adventitia teased. |
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Prepared artery end. |
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Artery dilated. |
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Arteriotomy. |
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Artery irrigated. |
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Heel stitch. |
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Toe stitch. |
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Corner stitched. |
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Completed front wall. |
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Flap flipped up. |
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Lumen irrigated. |
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Back wall sutures. |
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Completed back wall. |
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Artery unclamped. |
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Completed anastomoses. |
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Pedicle. |
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Doppler. |
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Venous Doppler. |
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Doppler flap. |
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Two completed anastomoses. |
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Flow probe. |
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Flap positioned. |
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Incision closed. |
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Flap trimmed. |
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Bleeding. |
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Bleeding. |
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Flap sutured. |
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Proximal side of flap. |
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Final skin sutures. |
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Completed flap. |
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Final flap. |
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Skin undermined. |
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Test approximation. |
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Closed suction drain. |
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Staples. |
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Dermal sutures. |
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Subcutaneous closure. |
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Blanching. |
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Window. |
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Medial view, 6w f/u. |
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Posterior view. |
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Right posterior oblique view. |
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This page was last modified on 4/29/2003. A D V E R T I S E M E N T
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