Yamada Atsuki, Hori Asei, Eguchi Tomoaki
Department of Plastic Surgery, Toranomon Hospital, Tokyo, Japan.
J Plast Reconstr Surg. 2023 Sep 8;3(1):39-42. doi: 10.53045/jprs.2022-0055. eCollection 2024 Jan 27.
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.
监测埋藏皮瓣中的血流通常具有挑战性。在游离空肠移植的情况下，尽管将一小段空肠外置已成为标准方法，但仍存在诸如肠液管理、需要分离被监测的空肠以及假阳性率高等问题。在本研究中，我们对2022年8月至2022年12月期间接受游离空肠移植的4例患者使用手持式超声（Vscan Extend™；通用电气医疗集团，日本）进行了监测。观察了所有患者吻合血管中的血流和空肠的蠕动。没有因血管吻合血栓形成或血管痉挛等早期失败而进行再次手术的病例。手持式超声能够充分评估吻合血管中的血流和移植空肠的蠕动。手持式超声可用于监测埋藏皮瓣中的血流。
