Successful free latissimus dorsi muscle flap for upper extremity cover in a pregnant patient at 14 weeks gestational age

Successful free latissimus dorsi muscle flap for upper extremity cover in a pregnant patient at... We describe the successful free tissue transfer of a latissimus dorsi muscle for coverage of a defect over the dorsum of the forearm, hand and metacarpophalangeal joints in a pregnant patient in the second trimester. There are only few reports of microvascular surgery in a pregnant patient. Surgery in the second trimester, although difficult to plan in an emergency situation, has the least risk of anaesthesia to the growing foetus. The physiological considerations in this situation, especially fluid balance, management of hypercoagulability, and use of analgesics, sedatives and antibiotics are all unique in pregnancy and need to be carefully addressed http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Successful free latissimus dorsi muscle flap for upper extremity cover in a pregnant patient at 14 weeks gestational age

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Publisher
Springer-Verlag
Copyright
Copyright © 2003 by Springer-Verlag
Subject
Medicine
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-003-0510-0
Publisher site
See Article on Publisher Site

Abstract

We describe the successful free tissue transfer of a latissimus dorsi muscle for coverage of a defect over the dorsum of the forearm, hand and metacarpophalangeal joints in a pregnant patient in the second trimester. There are only few reports of microvascular surgery in a pregnant patient. Surgery in the second trimester, although difficult to plan in an emergency situation, has the least risk of anaesthesia to the growing foetus. The physiological considerations in this situation, especially fluid balance, management of hypercoagulability, and use of analgesics, sedatives and antibiotics are all unique in pregnancy and need to be carefully addressed

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Sep 1, 2003

References

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