Reconstruction involving seven venous flaps on six patients was perfor
med, One saphenous venous flap demonstrated partial dermal necrosis; t
he 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.