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July 1, 2026Annals of Plastic Surgery

Evaluating the Efficacy and Safety of Venous Flow-Through Flaps in Hand Reconstructive Surgery

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Authors

BGBarite GutamaVanderbilt UniversityVLValbona LumaniSouthwestern Medical CenterEAErin AbbottVanderbilt University Medical Center

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Implication

Randomized trial evaluates outcomes of venous flow-through flaps in upper extremity reconstruction, indicating promising survival rates but notable complications.

Key Points

  • This research aims to evaluate the efficacy and safety of venous flow-through flaps in reconstructive surgery for the upper extremity.
  • Conducted computerized search of 5 databases per PRISMA guidelines on April 7, 2024.
  • Included 64 studies with outcomes on VFT flaps in the forearm and hand, excluding irrelevant studies.
  • Analyzed complication rates, survival rates, and detailed applications from eligible studies.
  • Overall survival rate of venous flow-through flaps was 96.74% (95% CI: 95.62-97.88).
  • Complication rate was reported as 42.76% (95% CI: 29.83-35.74) across 327 complications in 999 patients.
  • Common complications included congestion (6.81%, 95% CI: 5.32-8.55), partial necrosis (7.31%, 95% CI: 5.77–9.10), and edema (5.61%, 95% CI: 4.26-7.22).

Cite This Study

Gutama et al. (2026) studied this question.

synapsesocial.com/papers/6a44ada75cd2549c8bc432dehttps://doi.org/10.1097/sap.0000000000004768
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Venous super‐drained posterior interosseous artery flap for dorsal hand defects2018 · 21 citations
  2. 2New Anterolateral Thigh Perforator Flap With a Short Pedicle for Reconstruction of Defects in the Upper Extremities2003 · 56 citations
  3. 3Recovery of Sensitivity in the Hand after Reconstruction with Arterialised Venous Flaps2002 · 27 citations
  4. 4Efficacy of the Arteriovenous Loop for Free Flap Reconstruction in Patients with Complex Limb Trauma: Case Series and Literature Review2020 · 21 citations