Grafts, Flaps, and Microsurgery

Microsurgery

Postoperative monitoring of lower limb free flaps with the Cook-Swartz implantable Doppler probe: A clinical trial

Rozen WM, Enajat M, Whitaker IS, et al (Univ of Melbourne, Victoria, Australia; Uppsala Clinical Hosp, Sweden; Morriston Hosp, Swansea, UK) Microsurgery 30:354-360, 2010^§

Abstract

Background

Free flaps to the lower limb have inherently high venous pressures, potentially impairing flap viability, which may lead to limb amputation if flap failure ensues. Adequate monitoring of flap perfusion is thus essential, with timely detection of flap compromise able to potentiate flap salvage. While clinical monitoring has been popularized, recent use of the implantable Doppler probe has been used with success in other free flap settings.

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