Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal Transfer
Monitoring blood flow in a buried flap is often challenging. In cases of free jejunal transfer, although exteriorization of a minor jejunal segment has become the standard method, there remain issues such as intestinal fluid management, the need for separation of the monitored jejunum, and high fals...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Japan Society of Plastic and Reconstructive Surgery
2024-01-01
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| Series: | Journal of Plastic and Reconstructive Surgery |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jprs/3/1/3_2022-0055/_pdf/-char/en |
| _version_ | 1797337351342522368 |
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| author | Atsuki Yamada Asei Hori Tomoaki Eguchi |
| author_facet | Atsuki Yamada Asei Hori Tomoaki Eguchi |
| author_sort | Atsuki Yamada |
| collection | DOAJ |
| description | Monitoring blood flow in a buried flap is often challenging. In cases of free jejunal transfer, although exteriorization of a minor jejunal segment has become the standard method, there remain issues such as intestinal fluid management, the need for separation of the monitored jejunum, and high false positive rates. In this study, we performed monitoring using handheld ultrasound (Vscan Extend™; GE Healthcare, Japan) in four patients who had undergone free jejunal transfer between August 2022 and December 2022. The blood flow in the anastomosed vessels and the peristalsis of the jejunum were observed in all patients. There were no cases of reoperation due to early failure such as thrombosis of vascular anastomosis or vessel spasm. The handheld ultrasound made it possible to adequately evaluate both the blood flow in the anastomosed vessels and the peristalsis of the transplanted jejunum. Handheld ultrasound can be useful for monitoring blood flow in a buried flap. |
| first_indexed | 2024-03-08T09:09:14Z |
| format | Article |
| id | doaj.art-4fe14097d2db4ebf878c2b18b4ac5f25 |
| institution | Directory Open Access Journal |
| issn | 2436-259X |
| language | English |
| last_indexed | 2024-03-08T09:09:14Z |
| publishDate | 2024-01-01 |
| publisher | Japan Society of Plastic and Reconstructive Surgery |
| record_format | Article |
| series | Journal of Plastic and Reconstructive Surgery |
| spelling | doaj.art-4fe14097d2db4ebf878c2b18b4ac5f252024-02-01T00:39:28ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2024-01-013139422022-0055Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal TransferAtsuki Yamada0Asei Hori1Tomoaki Eguchi2Department of Plastic Surgery, Toranomon HospitalDepartment of Plastic Surgery, Toranomon HospitalDepartment of Plastic Surgery, Toranomon HospitalMonitoring blood flow in a buried flap is often challenging. In cases of free jejunal transfer, although exteriorization of a minor jejunal segment has become the standard method, there remain issues such as intestinal fluid management, the need for separation of the monitored jejunum, and high false positive rates. In this study, we performed monitoring using handheld ultrasound (Vscan Extend™; GE Healthcare, Japan) in four patients who had undergone free jejunal transfer between August 2022 and December 2022. The blood flow in the anastomosed vessels and the peristalsis of the jejunum were observed in all patients. There were no cases of reoperation due to early failure such as thrombosis of vascular anastomosis or vessel spasm. The handheld ultrasound made it possible to adequately evaluate both the blood flow in the anastomosed vessels and the peristalsis of the transplanted jejunum. Handheld ultrasound can be useful for monitoring blood flow in a buried flap.https://www.jstage.jst.go.jp/article/jprs/3/1/3_2022-0055/_pdf/-char/enfree jejunal transferultrasoundhandheldcolor dopplerflap monitoringhead and neckmicrosurgery |
| spellingShingle | Atsuki Yamada Asei Hori Tomoaki Eguchi Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal Transfer Journal of Plastic and Reconstructive Surgery free jejunal transfer ultrasound handheld color doppler flap monitoring head and neck microsurgery |
| title | Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal Transfer |
| title_full | Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal Transfer |
| title_fullStr | Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal Transfer |
| title_full_unstemmed | Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal Transfer |
| title_short | Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal Transfer |
| title_sort | use of handheld ultrasound for flap monitoring after free jejunal transfer |
| topic | free jejunal transfer ultrasound handheld color doppler flap monitoring head and neck microsurgery |
| url | https://www.jstage.jst.go.jp/article/jprs/3/1/3_2022-0055/_pdf/-char/en |
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