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Successful free flap transfer and salvage in sickle cell trait.
Authors:A J Platt  A Robertson  A G Batchelor
Affiliation:Department of Plastic and Reconstructive Surgery, St James's University Hospital, Leeds, UK.
Abstract:The presence of sickle cell haemoglobin is generally regarded as a contraindication to free tissue transfer. We present the case of a 42-year-old male with sickle cell trait who had free transfer of a latissimus dorsi flap to cover a gunshot wound to his thigh. His initial haemoglobin S was 36%. Early flap failure from venous thrombosis was successfully salvaged by re-anastomosis to alternative vessels.
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