J Reconstr Microsurg 2011; 27(4): 215-218
DOI: 10.1055/s-0031-1272962
© Thieme Medical Publishers

External Doppler Monitoring of Free Flaps through Negative Pressure Dressings

Steven L. Henry1 , Adam B. Weinfeld1 , Sanjay K. Sharma1 , Patrick K. Kelley1
  • 1Seton Institute of Reconstructive Plastic Surgery, Pediatric Surgical Subspecialists, University Medical Center Brackenridge, Dell Children's Medical Center of Central Texas, Austin, Texas
Further Information

Publication History

Publication Date:
18 February 2011 (online)

ABSTRACT

The negative pressure dressing is a highly effective modality for coverage and bolstering of skin grafts in the early postoperative period. In the situation of a skin graft over a free flap, the surgeon might be inclined to avoid this modality out of concern that the dressing would deleteriously effect flap survival or impede flap monitoring. This case series supports the safety of the negative pressure dressing and demonstrates a technical modification that permits external Doppler monitoring of the flap through the dressing. Thus, this technique provides an ideal environment for skin graft healing while maintaining the ability to monitor the flap in a straightforward manner and also simplifies nursing care.

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Steven L HenryM.D. 

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Austin, TX 78701

Email: slhenry@seton.org