[Microcirculation of lateral groin skin flaps: monitoring and clinical application].
OBJECTIVE
To monitor the microcirculation of lateral groin skin flaps.


METHODS
The microcirculation in 12 lateral groin skin flaps was monitored continuously by laser doppler flowmetry (LDF).


RESULTS
The microcirculatory changes in lateral groin skin flaps were divided into two phases: rapid rising (2-6 days after operation) and plateau (6-11 days after operation). PU values were 2.83 +/- 0.46, 3.21 +/- 0.41, 3.66 +/- 0.43, 4.77 +/- 0.71, 7.08 +/- 0.37; 7.53 +/- 0.41, 7.57 +/- 0.62, 7.70 +/- 0.44, 7.60 +/- 0.26, 7.58 +/- 0.17.


CONCLUSIONS
In clinical application, division of the lateral groin skin flaps within the plateau, and the values (PU) returned to or exceeded 50% of that values (PU) determined before application of the tourniquet, causes flaps survival (100%). The time of division was decreased to 8-11 postoperative days in our clinical application.
Yang
Xin
X
Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100041, China.
Ma
Jiguang
J
Wang
Jiaqi
J
Sun
Guangci
G
D000293:Adolescent; D000328:Adult; D006119:Groin / Q000601:surgery*; D006801:Humans; D017078:Laser-Doppler Flowmetry; D008833:Microcirculation; D008875:Middle Aged; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013997:Time Factors