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Abstract
A case report illustrating survival of a free flap after 20 hours of immediate post-operative venous occlusion is presented. This represents the most dramatic salvage of a free flap in the authors' experience. It suggests that the late diagnosis of venous obstruction may not preclude satisfactory reexploration and repair of a thrombosed vein. Nevertheless, it is the authors' opinion that the shorter the interval of venous obstruction the more satisfactory will be revision of the anastomosis.
References
- Patterns of vascular anastomoses vs. success of free groin flap transfers.Plastic and Reconstructive Surgery. 1979; 64: 37
- The relationship between venous occlusion time in island flaps and flap survival.Plastic and Reconstructive Surgery. 1977; 60: 92
- The no-reflow phenomenon in experimental free flaps.Plastic and Reconstructive Surgery. 1978; 61: 256
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© 1980 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.