What is it about?
A compromised flap was salvaged by shunting the return extra-corporeally into a distant vein. It was an innovative but encouraging way by which the flap could be saved.
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Why is it important?
Situations in which flap circulation is compromised are not un-common. Issues with venous return are much commoner as it is a low pressure system. Specially in scarred bed when no recipient vein is available, this option can be very helpful. It is much more effective than leeches and a significant amount of blood loss can be avoided.
Perspectives
Though this method cannot be an alternative to a good venous anastomosis, in certain situations where due to nonavailability of recipient vein in the vicinity can be salvaged by this technique.
Dr RAHUL KRISHNARAO PATIL
Khoula Hospital, Muscat
Read the Original
This page is a summary of: Short-term augmentation of venous drainage with extra-corporeal shunt and simultaneous auto-transfusion, for salvaging a congested free flap, Indian Journal of Plastic Surgery, January 2013, Medknow,
DOI: 10.4103/0970-0358.122024.
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