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Venous Occlusion Detected by Caregiver with Implantable Doppler in a Buried Free Flap

  • Hur, Su Won (Department of Plastic and Reconstructive Surgery,Yeungnam University College of Medicine) ;
  • Kim, Tae Gon (Department of Plastic and Reconstructive Surgery,Yeungnam University College of Medicine) ;
  • Lee, Jun Ho (Department of Plastic and Reconstructive Surgery,Yeungnam University College of Medicine) ;
  • Chung, Kyu Jin (Department of Plastic and Reconstructive Surgery,Yeungnam University College of Medicine) ;
  • Kim, Yong-Ha (Department of Plastic and Reconstructive Surgery,Yeungnam University College of Medicine)
  • Received : 2014.06.30
  • Accepted : 2014.10.15
  • Published : 2014.12.09

Abstract

The use of the implantable Doppler device eases the burden of free flap monitoring, and allows caregivers to notify healthcare personnel of a potential vascular event. A 24-year-old female patient underwent anterolateral thigh adipofascial flap surgery to provide a buried flap on the left temporal area for a depressed and infected skull wound. The author was able to salvage the flap from two venous occlusions, which was made possible by early notifications from the caregiver who reported changes in the Doppler signal.

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Cited by

  1. Ischemic Time in Free-Flap Surgery With Arteriovenous Bundle Interposition Graft : Comparison of Two Anastomosis Sequences vol.30, pp.2, 2014, https://doi.org/10.1097/scs.0000000000005193