TONOMETRIC SUPERVISION OF VIABILITY IN FR EE JEJUNUM AND STOMACH TRANSPLANTS AFTER TOTAL CIRCULAR PHARYNGO-LARYNGECTOMY

Citation
S. Rohr et al., TONOMETRIC SUPERVISION OF VIABILITY IN FR EE JEJUNUM AND STOMACH TRANSPLANTS AFTER TOTAL CIRCULAR PHARYNGO-LARYNGECTOMY, Journal de chirurgie, 133(8), 1996, pp. 389-391
Citations number
7
Categorie Soggetti
Surgery
Journal title
ISSN journal
00217697
Volume
133
Issue
8
Year of publication
1996
Pages
389 - 391
Database
ISI
SICI code
0021-7697(1996)133:8<389:TSOVIF>2.0.ZU;2-H
Abstract
A prospective study concerning the tonometric viability supervision of 9 digestive free autografts after total pharyngolaryngectomy was cond ucted. This technic is based on the Henderson and Hasselbalch's equati on wich calculates the intramucosal pH (pHi) in the graft using a tono metric catheter. When the pHi is under 7.10, there is a graft ischemia . This invasive technique seems to be sensitive and specific provided that minimally rigorous measurement procedures ai-e used. Late graft n ecrosis is the major limitation of the technique.