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The
implantable Doppler cord has been fixed
to the skin and the probe with cuff is
brought into the operating field with a
forceps. Above, a muscle flap draining
vein is visible against the
microsurgical background.
The
probe is placed against the draining
vein by circling the cuff around the
vein. The probe can be proximal or
distal to the anastomotic site. In
this case it is placed distal.

The cuff is
secured around the vein with a hemoclip.
It is secure enough so that the probe
stays against the outer wall of the
vein, but not so loose that the probe
would slide proximal or distal or away
from the vein.

The
excess cuff can be trimmed with a micro
scissors. The Doppler can be
connected to the control box and
monitoring is begun.
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