Surgical
Procedures
Reconstructive Micro-surgery
Vascular Disease
(Free flap transfer for peripheral vascular disease and diabetes)
Dr. Dabb was the first surgeon in the United States to perform
the free flap transfer on patients with difficult wounds secondary
to diabetes and peripheral vascular disease.
He showed that working as a team with the vascular surgeons,
careful evaluation of the peripheral vascular patient could eventually
salvage many extremities that were frequently headed to amputation
secondary to exposed bone or tendon. By mapping zones of local
poor perfusion with subsequent resection and replacement with
healthy well-vascularized tissue, difficult vascular ulcers could
be reconstructed. Muscle flaps bring a very high capillary density
to bring nutrition to these poorly perfused tissues.
Examples
Thermography Showing Increased
Blood Supply with Muscle Flap
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Diabetic Ulcer with 12 Year Follow-up
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