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Ann Thorac Surg 2002;73:987-989
© 2002 The Society of Thoracic Surgeons


Case report

Behavior of free jejunal flaps after early disruption of blood supply

Hung-Chi Chen, FACSa, Bien-Keem Tan, FRCS(Ed)c, Ming-Huei Cheng, MDa, Chau-Hsiung Chang, FACSb, Yueh-bih Tang, MD, PhD*d

a Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taipei, Taiwan
b Department of Cardiovascular Surgery, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taipei, Taiwan
c Department of Plastic Surgery, Singapore General Hospital, Singapore
d Department of Plastic Surgery, National Taiwan University Hospital, Taipei, Taiwan

Accepted for publication June 11, 2001.

* Address reprint requests to Dr Tang, 9, Alley 23, Lane 76, Section 2, Ho-Ping East Rd, Taipei, Taiwan
e-mail: phoebe{at}ha.mc.ntu.edu.tw

We describe three free jejunal flaps that lost their axial blood supply in the early postoperative period—two flaps on the 7th day and the third on the 17th day. At 7 days, reestablishment of axial blood flow was essential to flap survival, whereas after 17 days, vascularization from the recipient bed was adequate to maintain viability. Based on these observations, a conservative approach to flap salvage for cases with pedicle disruption at 17 days or later is recommended.







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