title: Behavior of free jejunal flaps after early disruption of blood supply.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taipei, Taiwan.
authors.forename: Hung-Chi
authors.initials: HC
authors.lastname: Chen
authors.forename: Bien-Keem
authors.initials: BK
authors.lastname: Tan
authors.forename: Ming-Huei
authors.initials: MH
authors.lastname: Cheng
authors.forename: Chau-Hsiung
authors.initials: CH
authors.lastname: Chang
authors.forename: Yueh-bih
authors.initials: YB
authors.lastname: Tang
mesh_terms: D000328:Adult; D000368:Aged; D004940:Esophageal Stenosis / Q000601:surgery*; D005260:Female; D006085:Graft Survival; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps / Q000098:blood supply*