Monitoring free flaps using the laser Doppler flowmeter: five-year experience.

Abstract:

:Over a 5-year period, 232 microvascular composite-tissue transfers to the head and neck, trunk, and extremities were monitored using the laser Doppler flowmeter. Thirteen free flaps (5.6 percent) developed vascular complications, all within 4 days after surgery. The laser Doppler flowmeter detected vascular compromise in all cases with no false positives or negatives. Failure to monitor the flap according to protocol by nursing staff occurred in one patient, which led to a delay in detection of venous compromise and subsequent flap loss. The salvage rate was 69.2 percent, leading to an overall flap viability of 98.3 percent. Our series of free-flap monitoring using the laser Doppler flowmeter is the largest reported to date. Review of the English literature shows consistent support by numerous clinical series for the use of the laser Doppler as a valuable postoperative monitor after free-flap transfers.

journal_name

Plast Reconstr Surg

authors

Yuen JC,Feng Z

doi

10.1097/00006534-200001000-00009

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

55-61

issue

1

eissn

0032-1052

issn

1529-4242

journal_volume

105

pub_type

杂志文章
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