Pure muscle transfers can be monitored by use of microdialysis

Most of the methods available for postoperative monitoring of free transfers depend on an accessible skin island. Monitoring of muscle transfers without skin islands represents a challenge. The aim of this study was to describe the experiences after clinical monitoring of free muscle transfers by the use of microdialysis. The charts of 75 free muscle transfers monitored with microdialysis were evaluated with special emphasis on whether or not complications were predicted by the monitoring system. In 16 of the 75 cases, an ischemic trend was seen. In five of these cases, the ischemic trend was reversed without surgical revascularization. In the remaining 11 cases (14.7%), further ischemic trends were seen, and surgical revision with revascularization was needed for transfer salvage. Six of the 11 transfers were subsequently saved. None of the remaining five transfers were lost due to neglected ischemia. The microdialysis system did not exhibit any negative or positive false alarms. No damage to the muscle flap was experienced while performing the monitoring procedures. Microdialysis is a reliable and safe monitoring method for surveillance of free muscle transfers.