Negative Pressure Wound Therapy as a Salvage Procedure in Venous Congestion of Microsurgical Procedures

Jorge I. Quintero, MD; Laura L. Cárdenas, MD; Adriana C. Achury, MD; Daniela Vega-Hoyos, MD; Julio Bermúdez, MD, MSc, PhD


Plast Reconstr Surg Glob Open. 2021;9(8):e3725 

In This Article

Material and Methods

Seven free flaps required NPWT due to venous congestion after surgery. We described demographics, flap characteristics, microsurgical technique, whether the patient required NPWT after surgery or not, the type of pressure used, and the treatment duration (in days). NPWT was initiated when venous congestion was clinically diagnosed. An anticoagulation protocol using nonfractioned heparin infusion was established after free flap surgeries. Complications after the heparin infusion were assessed. The integration of the free flap was described after the first, third, and the sixth month postoperative.