Clinical applications of venous flaps

Reconstruction involving seven venous flaps on six patients was performed. One saphenous venous flap demonstrated partial dermal necrosis; the remaining six survived completely. The largest flap to survive was 5 x 15 cm. Three technical requirements are emphasized; (1) a healthy recipient bed, (2) a donor site with a luxuriant venous network and a flow-through vein, and (3) stable fixation of the flap to its bed.