ABSTRACT
Introduction: Successful free tissue transfer depends on a multitude of factors, and adequate drainage
of venous blood is one of the most critical part of successful free tissue transfers.
Material and Methods: We report 6 cases of microvascular free flaps used for covering various defects,
which developed venous congestion, that were salvaged with heparinised saline irrigation
through the distal end of the congested vein by the help of an intravenous cannula.
The irrigation was continued for 5 days. Results: All the flaps were successfully salvaged. Conclusion: This method has potential applications in situations for successful salvage of free
tissue transfer particularly due to venous thrombosis.
KEY WORDS
Heparinised saline - salvage of congested flaps - venous obstruction in free flap
