Figure 2

Clinical situation of the surgical procedure. (A) Femoral artery and vein with the epigastric branches. (B) Dissected epigastric vessels with its femoral origin and re-anastomosed femoral artery. (C) The re-perfused femoral artery, ligated branch of the proximal femoral vein, and first stitch in the distal femoral vein. (D) Anastomosis between the distal femoral vein and the epigastric artery. The distal femoral vein shows an arterial red color that can be explained by the retrograde arterial inflow from the mammarian artery. (E) Raised flap that is now perfused only by the epigastric vessels. (F) Flap sutured back into the wound bed in group III (+ 14 d). The flap appears slightly livid compared with the surrounding tissue. AF—arteria femoralis; AE—arteria epigastrica; EP—epigastric pedicle; VF—vena femoralis; VE—vena epigastrica; VAA—veno-arterial anastomosis.