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