Free Tissue Transfer: Comparison of Outcomes between University Hospitals and Community Hospitals

Gusenoff, Jeffrey A.; Vega, Stephen J.; Jiang, Shao; Behnam, Amir B.; Sbitany, Hani; Herrera, H. Raul; Smith, Andrew; Serletti, Joseph M.

doi:10.1097/01.prs.0000233203.84078.6b

Cited by 50 publications

(35 citation statements)

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“…Advantages include improved aesthetic and functional outcomes and stable wound coverage. Success rates of free flaps in high volume centres are in excess of 95% . Despite these advances, there is still a risk of flap compromise requiring urgent re‐exploration.…”

Section: Introductionmentioning

confidence: 99%

Free‐flap salvage: muscle only versus skin paddle – an Australian experience

Dat

Loh

Bruscino-Raiola

2016

ANZ Journal of Surgery

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Section: Introductionmentioning

confidence: 99%

Free‐flap salvage: muscle only versus skin paddle – an Australian experience

Dat

Loh

Bruscino-Raiola

2016

ANZ Journal of Surgery

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“…6,8 Recent papers have reported the ability to safely perform microsurgery outside of a university setting and without access to a dedicated "flap unit"; however, all of these studies have emphasized the importance of skilled nurses familiar with signs of vascular thrombosis to ensure successful flap survival. 6,33,34 Despite recent advancements, clinical observation remains the mainstay of flap monitoring. 14 The introduction of newer monitoring devices has not resulted in a notable improvement in free flap survival.…”

Section: Who Should Monitor the Flap And How Should We Monitor The Flap?mentioning

confidence: 99%

Monitoring for Upper-Extremity Free Flaps and Replantations

Bakri

Moran

2008

The Journal of Hand Surgery

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“…3) -ситуации, которая делает абсолютно необходимым возврат пациента в операционную, удаление лоскута и выполнение повторной пластики. Хотя в литературе имеются сообщения о стопроцентном успехе реконструкции свободными реваскуляризированными лоскутами [18], в большинстве публикаций потеря 2-8 % лоскутов представляется неизбежной и считается приемлемым результатом [20][21][22]. Напротив, частота такого осложнения, как частичный некроз лоскута, оказалась значительно выше в 1-й группе, что, возможно, связано с использованием…”

Section: результаты и обсуждениеunclassified

Impact of a reconstructive stage on the postoperative course in patients with oral cancer

Boyko

Карпенко

Trunin

et al. 2018

Opuholi golovy i šei

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The study objectiveis to assess effect of the reconstructive stage on the course of the postoperative period in patients with oral cancer.Materials and methods.A retrospective analysis of medical records of 174 patients (121 men and 53 women) aged 36 to 84 years (average 58.26 ± 8.72 years) with oral cancer undergoing treatment from January 2009 to June 2016 was performed. Depending on the nature of the reconstructive stage, the patients were divided into 3 groups. The group 1 consisted of 59 patients, to eliminate the defects of which flaps were taken on axial blood supply, the group 2 included 83 patients who had a reconstructive phase of the operation included a microsurgical reconstruction; 32 patients who had not used additional plastic material to eliminate the defect made up the control group. The following parameters were taken as evaluation parameters: the duration of the operation and hospitalization, the time spent in the intensive care unit, the frequency of serious and frivolous complications. The criterion for distinguishing serious and unserious complications is the fact that the patient returned to the operating room.Results.The reconstructive stage increased the operation duration by 72.12 min in the group 1 and by 285.72 min in the group 2, the length of stay in the intensive care unit – by 0.67 and 2.58 days, respectively, the hospital stay – by 33.9 and 40.4 %. The incidence of complications was higher in the groups 1 and 2 than in the control (6.6 %), and the type of reconstruction had almost no effect on it (42.37 % in the group 1 and 38.55 % in group 2). The frequency of serious complications was higher in the group 2, the frequency of partial flap necrosis – in the group 1.Conclusion.The inclusion of a reconstructive stage into the protocol of surgical treatment for oral cancer is absolutely reasonable, because it gives the patients a chance to return to their normal lives. Microsurgical reconstruction is a costly and labour-consuming procedure; however, it has almost the same number of complication as reconstructive surgery with flaps with an axial blood supply.

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Free Tissue Transfer: Comparison of Outcomes between University Hospitals and Community Hospitals

Abstract: Free tissue transfer is an effective and practical method of reconstruction that has been safely performed in both university and community hospital settings.

Cited by 50 publications

References 10 publications

Free‐flap salvage: muscle only versus skin paddle – an Australian experience

Free‐flap salvage: muscle only versus skin paddle – an Australian experience

Monitoring for Upper-Extremity Free Flaps and Replantations

Impact of a reconstructive stage on the postoperative course in patients with oral cancer

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