抄録
Success in free flap transfer depends on the maintenance of optimal perfusion postoperatively. This need for rapid correction of thrombosis mandates accurate monitoring of tissue perfusion. In this study, we aimed to analyze blood glucose and lactate measurements for flap monitoring that can show the presence of venous thrombus and aid in decision-making, in terms of whether to reoperate or not. We evaluated 6 flaps. Blood flow disorder due to a venous thrombus was found in 1 flap. The mean blood glucose level in the congestive flap was significantly lower and the lactate level was higher than those in the other healthy flaps. This flap was salvaged by reoperation. Accurate monitoring and urgent reexploration are critical for the salvage of compromised flaps.
