Prospective analysis of flap perfusion by measuring capillary glucose level in flaps

Background Post-operative monitoring of flap is equally important as harvesting of a flap. Early diagnosis of flap failure can salvage the flap by appropriate intervention. The monitoring methods used should be rapid, inexpensive, and accurate. The purpose of this study is to evaluate the usefulness...

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Bibliographic Details
Published in:European journal of plastic surgery 2019-04, Vol.42 (2), p.119-124
Main Authors: Sharma, Mukesh Kumar, Ete, Geley, Chaturvedi, Gaurav, Barreto, Elvino, Doss, Kingsly Paul Meetper
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Original Paper
Plastic Surgery
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Summary:Background Post-operative monitoring of flap is equally important as harvesting of a flap. Early diagnosis of flap failure can salvage the flap by appropriate intervention. The monitoring methods used should be rapid, inexpensive, and accurate. The purpose of this study is to evaluate the usefulness of blood glucose monitoring (BGM) of the flap as our monitoring modality. Methods This study includes 60 flaps which were monitored by measuring their capillary glucose level by pricking the distal end of the flap. Out of the 60 flaps, 18 were free flaps, 23 were pedicled, and 19 were of the random variety. Quantitative data was expressed in frequency, percentage, mean value, and standard deviation for capillary glucose levels of the flap. Result Out of the 60 flaps, 44 survived well, 10 flaps were having minor distal necrosis (
ISSN:0930-343X
1435-0130
DOI:10.1007/s00238-018-1464-6