“…In particular, we have decided to perform the technique of cold perfusion and preservation based on our experience in solid organ transplantation and on our experimental studies on small bowel transplantation and intestinal IRI. 19 A similar preservation strategy has been adopted by another authors. 20 The use of this technique allows the surgeon to perform the preparation of the flap on the back table and the vascular anastomoses without exposing the flap to increased risk of ischemic damage.…”