Behavior of free jejunal flaps after early disruption of blood supply.
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.
Chen
Hung-Chi
HC
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taipei, Taiwan.
Tan
Bien-Keem
BK
Cheng
Ming-Huei
MH
Chang
Chau-Hsiung
CH
Tang
Yueh-bih
YB
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*