Salvage operations for complication following replantation and free tissue transfer

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