“Flap on Flap” – A technique to cover the exposed pedicle of free muscle flaps

We read the article by Meyer et al. titled ''Results of combined vascular reconstruction by means of AV-Loops and free flap transfer in patients with soft tissue defects'' with great interest1. We congratulate the authors for adding sound scientific evidence supporting the use of vein loops in microvascular reconstruction. In our unit, we use AV loops in the reconstruction of post-traumatic limb defects when the length of the flap pedicle falls short. In certain situations, the AV loop itself stays exposed or gets compressed.

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