O166 A standardised technique for smartphone free-flap photography

Abstract

Abstract Introduction Free-flap loss in the post-operative period results in physical and emotional morbidity and increases the difficulty of future reconstructive efforts. A variety of flap-monitoring techniques have been described, such as glucose and lactate measurement or photography. Combined photography and instant messaging provide an avenue for rapid communication. However, with increased adoption, awareness of the importance of standardised conditions has increased. Multiple techniques have been described, yet only one involves a cheap, accessible, and practical implementation of the smartphone in free-flap monitoring. This method is available only to Android users and involves additional equipment that may not be readily procured or applied. Therefore, this study presents a more universal approach to photography. Methods We present a simple, highly accessible and user-friendly technique for acquiring reproducible and standardised clinical images of free-flaps during the postoperative period. Our technique involves a smartphone only, can be taught in under 5 minutes and involves only three steps to take a photograph and three steps to collaborate with the MDT. Results In our pilot, clinicians reported that the method was easy to learn, simple to implement, and improved the standardisation of clinical photography. The technique has been adopted as standard practice for members of the Unit, and, anecdotally, has already led to improved care of patients. Conclusion This study describes a simple, quick, cost-effective approach to standardising clinical photography in patients undergoing free-flap surgery. Following a successful pilot, we plan to expand the study to more units before auditing the results of our intervention.