498 The Bristol Sign - A Technical Tip to Confirm Skin Flap Vascularity

Abstract Introduction In modern medicine, free flap reconstruction has become the gold standard when faced with soft tissue defects. The impressive cosmesis, and adaptability of flaps means that we can securely state are in era Plastic Surgery defined by reconstruction. However, as part reconstruction, clinical monitoring is a central tenet post-operatively. Different departments have different protocols for this. Method our unit, it practice to insert single interrupted stitch overlying Doppler site just before dressings. This localises pedicle monitoring, allows surgeon examine quality blood droplets, demonstrating perfusion. Results use considered practical, replicable, safe, aids providing additional analysis droplet another sign, itself, healthy flap, excludes venous congestion. Conclusions Bristol useful adjunct It’s localisation signal medical nursing staff confidently approach post-operative elicited insertion sign vascularity status.