Microvascular breast reconstruction pedicle thrombosis: How long can we wait?
| Autor: | Sandeep S. Vijan, Nho V. Tran |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Reoperation Microsurgery medicine.medical_specialty Time Factors Mammaplasty medicine.medical_treatment Surgical Flaps Postoperative Complications Ischemia Humans Medicine Aged Retrospective Studies Retrospective review business.industry Graft Survival Thrombosis Ultrasonography Doppler Middle Aged Prognosis medicine.disease eye diseases Surgery Median time Female business Breast reconstruction Surgical incision |
| Zdroj: | Microsurgery. 27:544-547 |
| ISSN: | 1098-2752 0738-1085 |
| DOI: | 10.1002/micr.20401 |
| Popis: | Re-exploration plays a key role in salvaging vascularly compromised free flaps. A retrospective review of 290 free flaps in breast reconstruction was performed to determine whether the time delay between thrombosis detection and surgical re-exploration had any effect on flap salvage. Overall flap success was 97.6%. Postoperative thrombosis requiring re-exploration was documented in 6.2% cases. Fifty-five percent of take-back flaps were salvaged and 45% were lost. The median time between detection of flap compromise to surgical incision was 128 min in our saved flaps, and 228 min in the lost flap group. Our preliminary data suggests that re-exploration within 188 min may improve flap salvage. © 2007 Wiley-Liss, Inc. Microsurgery, 2007. |
| Databáze: | OpenAIRE |
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