Eur J Plast Surg (2016) 39:421–428 DOI 10.1007/s00238-016-1223-5 ORIGINAL PAPER Influence of postoperative vasoactive agent administration on free flap outcomes 1 1 1 Dimitra Kotsougiani & Cornelia M. Banz & Caroline A. Hundepool & 1 1 2 1 Thomas Kremer & Ulrich Kneser & Marcus Lehnhardt & Leila Harhaus Received: 29 March 2016 /Accepted: 12 July 2016 /Published online: 10 August 2016 Springer-Verlag Berlin Heidelberg 2016 Abstract extremity reconstruction. However, there was no significant cor- Background The use of vasoactive agents (VAs) in free flap relation between the postoperative use of VAs and free flap loss. reconstruction remains controversial due to the potential risk Conclusions We have demonstrated an association between of free flap failure. Most of the existing literature has focussed postoperative VA administration and an increased revision on intraoperatively administered VAs in free flap procedures. rate in free flaps. Appropriate flap selection, close free flap However, hypotension frequently requires VA support, both monitoring and optimally adjusted anticoagulation therapy are intraoperatively and in the first postoperative days. The objec- recommended in patients receiving VA support during the tive of this study was to analyse the influence of postopera- early postoperative free flap period. tively administered VAs on thromboembolic
European Journal of Plastic Surgery – Springer Journals
Published: Aug 10, 2016
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