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Abstract
According to clinical studies there are fewer circulatory complications with the free TRAM flap than with the pedicled TRAM flap. In this haemodynamic study, we measured perioperative cutaneous blood flow in 11 free TRAM flaps with laser Doppler flowmetry (LDF) and transcutaneous oxygen tension (ptcO2). We also studied 4 pedicled TRAM flaps with an additional microvascular anastomosis. Our results suggest that skin blood flow in the free TRAM flap is superior compared to our previously presented results of the pedicled TRAM flaps, and also superior to pedicled TRAM flaps with additional microvascular anastomoses of the inferior epigastric vessels to “supercharge” them.
Reference
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Article info
Publication history
Accepted:
June 15,
1993
Received:
February 15,
1993
Footnotes
This study was supported by a grant from The Finnish Medical Foundation and The Association for the Development of and Education in Plastic Surgery and Burn Treatment in Finland.
Identification
Copyright
© 1993 The British Association of Plastic Surgeons. Published by Elsevier Inc.