Devices for ischemic preconditioning of the pedicled groin flap

Background: Early division of the pedicled groin flap can be achieved by us ing ischemic preconditioning, The goal of this study was to investigate the devices available for ischemic preconditioning and determine which device is the most effective and results in lowest patient discomfort. Methods: Rubber bands, custom-made Orthoplast sheets, long-nose locking pli ers, intestinal clamps, and a pneumatic tourniquet device were used for isc hemic preconditioning on 13 patients who sustained severe hand injuries wit h reconstruction of pedicled groin flaps, The devices were compared by usin g laser Doppler flowmetry and the patient's local pain levels, Results: Twelve of 13 flaps were successfully divided at a mean period of 8 .3 days by using a custom-made Orthoplast sheet or a pneumatic tourniquet d evice, All devices except the rubber bands could result in a biologic zero flow level, Conclusion: The pneumatic tourniquet device is the most desirable ischemic preconditioning: device, having the advantages of excellent ischemic Effect , easy application, and minimal discomfort.