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Subtotal esophagectomy and concurrent reconstruction with free jejunal flap for primary esophageal cancer after pancreatoduodenectomy
BackgroundPancreatoduodenectomy and subtotal esophagectomy are widely considered the most invasive and difficult surgical procedures in...
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Segmental cervical esophagectomy with free jejunal flap reconstruction for cervical esophageal cancer in patients with previous history of gastric surgery: a report of two cases
Although free-flap jejunal reconstruction is frequently performed after cervical esophagectomy for cervical esophageal cancer, the procedure after...
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Use of free jejunal flap as a salvage procedure in the management of high corrosive esophageal re-strictures: an institutional experience and review of literature
BackgroundHigh pharyngo-esophageal strictures following corrosive ingestion continue to pose a challenge to the surgeon, particularly in the...
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Comparison between anterolateral thigh free flap and jejunal flap for tissue reconstruction in patients underwent resection of pharyngoesophageal squamous cell carcinoma after radiotherapy failure: a retrospective study
BackgroundAnterolateral thigh (ALT) free flap and jejunal flap (JF) were commonly used in tissue reconstruction for pharyngoesophageal squamous cell...
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Repair using the pectoralis major musculocutaneous flap for refractory anastomotic leakage after total esophagectomy
BackgroundThe pectoralis major musculocutaneous flap (PMMF) is a pedicled flap often used as a reconstruction option in head and neck surgery,...
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Bowel Flaps - Jejunum Flap
Bowel flaps have been in the armamentarium of reconstructive microsurgeons since the dawn of microsurgery. The jejunum flap is the commonest...
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Successful multidisciplinary treatment for synchronous advanced esophageal and cecal cancers after total gastrectomy with reconstruction by jejunal interposition
BackgroundEsophageal squamous cell carcinoma is characterized by field cancerization, wherein multiple cancers occur in the esophagus, head and neck,...
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Step-by-Step Instruction: Jejunal Mesenteric Vascularized Lymph Node Transplant Procedure
The jejunal mesentery can be an excellent source of lymph nodes without the risk of donor site lymphedema. It is highly versatile and can be tailored...
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Principles of Soft Tissue Free Flap Reconstruction in Head and Neck Cancer
Reconstruction of soft tissue defects of the head and neck region is both challenging and unforgiving due to demanding aesthetic and functional...
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Deltopectoral Flap Reconstruction of the Posterior Pharyngeal Wall: A Single Stage Pedicle Flap Alternative Solution to the Free Flap Reconstruction of Circumferential Laryngopharyngeal Defects
The first option for reconstruction of a circumferential pharyngeal defect following extensive pharyngo-laryngectomy is free tissue transfer. Despite...
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Incidence of Metachronous Remnant Gastric Cancer after Proximal Gastrectomy with the Double-flap Technique (rD-FLAP-rGC Study): A Multicenter, Retrospective Study
BackgroundAlthough proximal gastrectomy (PG) with the double-flap technique (DFT) is a function-preserving surgery that prevents esophagogastric...
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Retromesenteric Omental Flap for Complete Arterial Coverage During Pancreaticoduodenectomy: Surgical Technique
Postoperative pancreatic fistula is a frequent complication of pancreaticoduodenectomy that can trigger arterial lesions resulting in...
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Laparoscopic proximal gastrectomy with right-sided overlap and single-flap valvuloplasty (ROSF): a case-series study
BackgroundThere is no standard reconstruction method following proximal gastrectomy, of which gastroesophageal reflux and anastomotic complications...
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Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer
BackgroundProximal gastrectomy is a widely performed procedure that has become more common with an increasing number of proximal gastric cancer...
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Comparison of proximal gastrectomy with double-flap technique and double-tract reconstruction for proximal early gastric cancer: a meta-analysis
Surgical resection is the main treatment for proximal gastric cancer, but there is no consensus on its reconstruction. We carried out a meta-analysis...
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Efficacy of sternocleidomastoid muscle flap in reducing anastomotic mediastinal/pleural cavity leak
BackgroundAnastomotic mediastinal/pleural cavity leak (AMPCL) is a life-threatening postoperative complication after esophagectomy. The objective of...
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Prophylactic pectoralis major flap to compensate for increased risk of pharyngocutaneous fistula in laryngectomy patients with low skeletal muscle mass (PECTORALIS): study protocol for a randomized controlled trial
BackgroundTotal laryngectomy (TL) is a surgical procedure commonly performed on patients with advanced laryngeal or hypopharyngeal carcinoma. One of...
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Jejunum Free Tissue Transfer for Laryngopharyngeal Defects
Free jejunal flaps (FJFs) have a unique place in the history of microvascular surgery because this was the first free tissue to be transferred in...
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Super Charged Jejunal Tube (Microvascular Anastomosis)
Long-gap esophageal atresia (LGEA) in children poses significant functional and psychosocial challenges. A number of techniques to address LGEA...
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Decision-Making in Flap Surgery: Reconstructive Ladder Versus Elevator
The principles of reconstructive surgery have evolved over time, particularly the decisions about the best “like for like” option. We reviewed the...