Clinical Case Handling and Experience Sharing for Venous Congestion Following Free Flap Graft

Conservative management with LMWH bloodletting therapy effectively resolves venous congestion in ALT flaps, promotes microcirculatory regeneration, and prevents flap necrosis. This approach offers a viable alternative to surgical re-exploration, reducing patient morbidity. Our findings underscore the importance of early recognition and targeted intervention for venous congestion, providing valuable insights for optimizing flap salvage protocols.