Impact of patients’ gender on microvascular lower extremity reconstruction
| Autor: | Nicholas Moellhoff, Denis Ehrl, Paul I. Heidekrueger, Milomir Ninkovic, P. Niclas Broer |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Microsurgery medicine.medical_specialty business.industry Incidence (epidemiology) medicine.medical_treatment Free flap Perioperative Plastic Surgery Procedures Anastomosis medicine.disease Free Tissue Flaps Surgery Venous thrombosis Treatment Outcome Lower Extremity medicine Humans Female Gracilis muscle Risk factor business Retrospective Studies |
| Zdroj: | Journal of Plastic Surgery and Hand Surgery. 56:47-52 |
| ISSN: | 2000-6764 2000-656X |
| DOI: | 10.1080/2000656x.2021.1914638 |
| Popis: | The physiological differences between genders have significant implications for health and disease. With regard to microsurgery, results remain elusive as to whether male or female gender is an independent risk factor for free flap reconstruction. This study evaluated the impact of gender on outcomes of lower-extremity free-flap reconstructions. Within 7 years, 358 patients received 393 microvascular lower limb free flap reconstructions. The cases were divided into two groups according to patients' gender: male vs. female. Retrospective data analysis evaluated patients' demographics, perioperative details, surgical complications and flap outcomes over a 3-month follow-up period. Major and minor surgical complications, including total and partial flap loss, showed no significant differences between the investigated groups (p>.05). In addition, there was no significant difference with regard to the rate of surgical revision surgery, or the incidence of arterial and venous thrombosis (p>.05). Comparison of different flap types (fasciocutaneous ALT vs. gracilis muscle flaps) and type of anastomosis (end-to-end vs. end-to-side) also revealed no difference in outcomes in respect to gender. In conclusion, gender cannot be regarded as an independent risk factor for free flap reconstructions in patients with lower-extremity defects. |
| Databáze: | OpenAIRE |
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