Behavior of free jejunal flaps after early disruption of blood supply.

Chen, Hung-Chi; Tan, Bien-Keem; Cheng, Ming-Huei; Chang, Chau-Hsiung; Tang, Yueh-bih · Ann Thorac Surg · 2002

case_report · Level V

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Abstract

We describe three free jejunal flaps that lost their axial blood supply in the early postoperative period--two flaps on the 7th day and the third on the 17th day. At 7 days, reestablishment of axial blood flow was essential to flap survival, whereas after 17 days, vascularization from the recipient bed was adequate to maintain viability. Based on these observations, a conservative approach to flap salvage for cases with pedicle disruption at 17 days or later is recommended.

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