Incidence of heparin-induced thrombocytopenia in lower-extremity free flap reconstruction correlates with the overall surgical population

2018 ◽  
Vol 71 (9) ◽  
pp. 1252-1259 ◽  
Author(s):  
Gregory Stimac ◽  
Elliot T. Walters ◽  
Tammer Elmarsafi ◽  
Christopher Attinger ◽  
Karen K. Evans
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Heparin Induced Thrombocytopenia

scholarly journals Outcome Analysis of End-to-End and End-to-Side Anastomoses in 131 Patients Undergoing Microsurgical Free Flap Reconstruction of the Lower Extremity

2016 ◽  
Vol 02 (01) ◽  
pp. e7-e14
Author(s):  
Sören Könneker ◽  
G.F. Broelsch ◽  
J.W. Kuhbier ◽  
T. Framke ◽  
N. Neubert ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Statistical Significance ◽  
Group Versus ◽  
Outcome Analysis ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Flap Survival ◽  
Anastomotic Technique ◽  
End To End

Background End-to-end and end-to-side anastomoses remain the most common techniques in microsurgical free flap reconstruction. Still, there is an ongoing effort to optimize established techniques and develop novel techniques. Numerous comparative studies have investigated flow dynamics and patency rates of microvascular anastomoses and their impact on flap survival. In contrast, few studies have investigated whether the type of anastomosis influences the outcome of microvascular free flap reconstruction of a lower extremity. Patients and Methods Retrospectively, we investigated the outcome of 131 consecutive free flaps for lower extremity reconstruction related to the anastomotic technique. Results No statistical significance between arterial or venous anastomoses were found regarding the anastomotic techniques (p = 0.5470). However, evaluated separately by vessel type, a trend toward statistical significance for anastomotic technique was observed in the arterial (p = 0.0690) and venous (p = 0.1700) vessels. No thromboses were found in arterial end-to-end anastomoses and venous end-to-side anastomoses. More venous (n = 18) than arterial thromboses (n = 9) occurred in primary anastomoses undergoing microsurgical free flap reconstruction (p = 0.0098). Flap survival rate was 97.37% in the end-to-end arterial group versus 86.36% in the end-to-side group. No thromboses were found in five arterial anastomoses using T-patch technique. Conclusion For lower extremities, there is a connate higher risk for venous thrombosis in anastomotic regions compared with arterial thrombosis. We observed divergent rates for thromboses between end-to-end and end-to-side anastomoses.However, if thrombotic events are explained by anastomotic technique and vessel type, the latter carries more importance.

scholarly journals Postoperative care in microvascular free flap reconstruction of the lower extremity: A systematic review

2020 ◽  
Vol 1-2 ◽  
pp. 21-26
Author(s):  
David D. Krijgh ◽  
Milou M.E. van Straeten ◽  
Marc A.M. Mureau ◽  
Antonius J.M. Luijsterburg ◽  
Pascal P.A. Schellekens ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lower Extremity ◽  
Free Flap ◽  
Postoperative Care ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Microvascular Free Flap

Microvascular Free Flap Reconstruction in Pediatric Lower Extremity Trauma: A 10-Year Review

2005 ◽  
Vol 115 (6) ◽  
pp. 1618-1624 ◽  
Author(s):  
Brian Rinker ◽  
Ian L. Valerio ◽  
Daniel H. Stewart ◽  
Lee L. Q. Pu ◽  
Henry C. Vasconez
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Lower Extremity Trauma ◽  
Extremity Trauma ◽  
Microvascular Free Flap

Free-Flap Reconstruction for Diabetic Lower Extremity Limb Salvage

2020 ◽  
Vol 248 ◽  
pp. 165-170
Author(s):  
Z-Hye Lee ◽  
David A. Daar ◽  
John T. Stranix ◽  
Lavinia Anzai ◽  
Jamie P. Levine ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Limb Salvage ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction

Lower extremity free flap reconstruction outcomes using venous coupler

Microsurgery ◽  
2011 ◽  
Vol 31 (5) ◽  
pp. 360-364 ◽  
Author(s):  
Ivica Ducic ◽  
Benjamin J. Brown ◽  
Samir S. Rao
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction

Microvascular Free Flap Reconstruction in Pediatric Lower Extremity Trauma

2006 ◽  
Vol 118 (2) ◽  
pp. 570-571 ◽  
Author(s):  
Olivier Trost ◽  
Natacha Kadlub ◽  
Gabriel Malka ◽  
Pierre Trouilloud ◽  
Alain Michel Danino
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Lower Extremity Trauma ◽  
Extremity Trauma ◽  
Microvascular Free Flap
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