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Innovative technique: Distal venous cannulation for salvaging free flap venous thrombosis by heparinised saline irrigation

INTRODUCTION: Successful free tissue transfer depends on a multitude of factors, and adequate drainage of venous blood is one of the most critical part of successful free tissue transfers. MATERIAL AND METHODS: We report 6 cases of microvascular free flaps used for covering various defects, which de...

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Detalles Bibliográficos
Autores principales: Kalra, G. D. S., Mohanty, Devidutta, Jain, Ritesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4413491/
https://www.ncbi.nlm.nih.gov/pubmed/25991887
http://dx.doi.org/10.4103/0970-0358.155270
Descripción
Sumario:INTRODUCTION: Successful free tissue transfer depends on a multitude of factors, and adequate drainage of venous blood is one of the most critical part of successful free tissue transfers. MATERIAL AND METHODS: We report 6 cases of microvascular free flaps used for covering various defects, which developed venous congestion, that were salvaged with heparinised saline irrigation through the distal end of the congested vein by the help of an intravenous cannula. The irrigation was continued for 5 days. RESULTS: All the flaps were successfully salvaged. CONCLUSION: This method has potential applications in situations for successful salvage of free tissue transfer particularly due to venous thrombosis.