A reliable method for monitoring the microvascular patency of free jejunal transfers in reconstructing the pharynx and cervical esophagus.

Abstract:

:Reconstruction of the pharynx and esophagus with revascularized segments of jejunum remains a time-proven entity. Most thromboses and subsequent flap failures have occurred within the first 24 hours after revascularization of the flap. What would therefore be desirable is a safe, proven monitoring system to assess the patency of the microvascular anastomoses and subsequent viability of the transferred bowel segment. This paper reports on such a monitoring system, which involves the creation of a surgical window on the anterior cervical flap. The jejunal serosa is tacked to this window, and a thin split-thickness skin graft is placed directly on the bowel. The technique is simple, safe, efficacious, and leaves no significant defect.

journal_name

Plast Reconstr Surg

authors

Bafitis H,Stallings JO,Ban J

doi

10.1097/00006534-198905000-00024

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

896-8

issue

5

eissn

0032-1052

issn

1529-4242

journal_volume

83

pub_type

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