Mechanical Leeching with Venocutaneous Fistula and Monitoring with Near-infrared Spectroscopy

Autor: Jonathan Bank, MD, Maureen Beederman, BA, Alison M. Shore, MD, David H. Song, MD, MBA, FACS
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Plastic and Reconstructive Surgery, Global Open, Vol 1, Iss 7, p e56 (2013)
Druh dokumentu: article
ISSN: 2169-7574
DOI: 10.1097/GOX.0b013e3182aa8752
Popis: Summary: The report herein describes the use of a venocutaneous fistula with angiocatheter attachment and near-infrared spectroscopy device to correct venous congestion of a vertical upper gracilis free flap used for breast reconstruction. This method of mechanical leeching was precisely controlled through monitoring trends in the tissue oxygen saturation levels of the flap, allowing venous congestion to be relieved before it became clinically apparent.
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