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 ◽  
...  
2018 ◽  
Vol 4 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Phoebe K. Yu ◽  
Rosh K.V. Sethi ◽  
Vinay Rathi ◽  
Sidharth V. Puram ◽  
Derrick T. Lin ◽  
...  

2005 ◽  
Vol 115 (6) ◽  
pp. 1618-1624 ◽  
Author(s):  
Brian Rinker ◽  
Ian L. Valerio ◽  
Daniel H. Stewart ◽  
Lee L. Q. Pu ◽  
Henry C. Vasconez

2006 ◽  
Vol 118 (2) ◽  
pp. 570-571 ◽  
Author(s):  
Olivier Trost ◽  
Natacha Kadlub ◽  
Gabriel Malka ◽  
Pierre Trouilloud ◽  
Alain Michel Danino

2015 ◽  
Vol 43 (10) ◽  
pp. 2026-2033 ◽  
Author(s):  
Migie Lee ◽  
Ronald Y. Chin ◽  
Guy D. Eslick ◽  
Niranjan Sritharan ◽  
Suchitra Paramaesvaran

Author(s):  
Rajan P. Dang ◽  
Abhinav R. Ettyreddy ◽  
Zain Rizvi ◽  
Michelle Doering ◽  
Angela L. Mazul ◽  
...  

Abstract Objectives Given the limitations in the available literature, the precise indications, techniques, and outcomes of anterior skull base free flap reconstruction remain uncertain. The objective of this study was to perform a systematic review of published literature and evaluate indications, methods, and complications for anterior skull base free flap reconstruction. Methods A systematic review of the literature was performed using a set of search criteria to identify patients who underwent free flap reconstruction of the anterior skull base. Articles were reviewed for inclusion based on relevance, with the primary outcome being surgical complications. Results After a comprehensive search, 406 articles were obtained and 16 articles were ultimately found to be relevant to this review—79 patients undergoing free flap reconstruction were identified. Overall complication rates were 17.7% (95% confidence interval [CI]: 16.6–33.1%) for major complications and 19.0% (95% CI: 17.8–35.5%) for minor complications. Conclusion Microvascular reconstruction of the anterior skull base is feasible with high reliability reported in the literature.


2016 ◽  
Vol 02 (01) ◽  
pp. e7-e14
Author(s):  
Sören Könneker ◽  
G.F. Broelsch ◽  
J.W. Kuhbier ◽  
T. Framke ◽  
N. Neubert ◽  
...  

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.


Head & Neck ◽  
2018 ◽  
Author(s):  
Ivana Petrovic ◽  
Hina Panchal ◽  
Paula Demetrio De Souza Franca ◽  
Marisol Hernandez ◽  
Colleen C. McCarthy ◽  
...  

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