Salvage operations for complications following replantation and free tissue transfer

Venous and aterial thrombus formation is the typical complication of microvascular surgery. Treatment is based on reoperation (thrombectomy), the administration of heparin, low molecular weight dextran and platelet antisludge (depyridamol and acetylsalicyclic acid). As the reoperation must be performed promptly, careful postoperative monitoring of the transplant is required.