Abstract
Case Presentation: A 57 year old male underwent salvage surgery for recurrent left maxillary sarcoma: orbital exenteration and extensive tissue resection, including loss of the original flap. The defect was reconstructed with a large right osteocutaneous scapula flap, which failed at postoperative day 4 due to sepsis. At postoperative day 14, the patient underwent tertiary reconstruction with a fasciocutaneous anterolateral thigh flap. The internal and external jugular veins were found to be unsuitable recipient vessels, so an interpositional vein graft (IVG) was planned. The left cephalic, then right saphenous veins were exposed in turn: both were unsuitable because of previous vascular access procedures. The right superficial inferior epigastric vein (SIEV) was harvested, providing 14 centimetres of vessel for use as an IVG. The flap was successful, and the patient was discharged 14 days later.
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