The influence of postoperative medical treatment and type of microvascular anastomosis on free tissue transfer

The influence of postoperative medical treatment and type of microvascular anastomosis on free... The aim of this study was to compare the influence of two different types of antithrombogenic medication and the technique of anastomosis on flap survival in free tissue transfer. In 81 patients, the postoperative medication was dextran and heparin (Group 1), in 123 patients heparin only (Group 2). After dextran and heparin medication arterial thrombosis occurred in six patients (7.4%), after heparin therapy only in eight patients (6.5%, p=0.79). In 154 patients an arterial end-to-end anastomosis, and in 50 patients an end-to-side anastomosis was performed. Arterial occlusion occurred in 8.9% after end-to-end anastomosis and in no case after end-toside anastomosis (p<0.02). Total flap necrosis occurred in 11 patients (5%), a partial flap necrosis occurred in three patients (2%). The results suggest that it is only the surgical method of anastomosis which has an influence on the survival rate of free flaps, the postoperative medication has no effect. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

The influence of postoperative medical treatment and type of microvascular anastomosis on free tissue transfer

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Publisher
Springer Journals
Copyright
Copyright © 1998 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380050093
Publisher site
See Article on Publisher Site

Abstract

The aim of this study was to compare the influence of two different types of antithrombogenic medication and the technique of anastomosis on flap survival in free tissue transfer. In 81 patients, the postoperative medication was dextran and heparin (Group 1), in 123 patients heparin only (Group 2). After dextran and heparin medication arterial thrombosis occurred in six patients (7.4%), after heparin therapy only in eight patients (6.5%, p=0.79). In 154 patients an arterial end-to-end anastomosis, and in 50 patients an end-to-side anastomosis was performed. Arterial occlusion occurred in 8.9% after end-to-end anastomosis and in no case after end-toside anastomosis (p<0.02). Total flap necrosis occurred in 11 patients (5%), a partial flap necrosis occurred in three patients (2%). The results suggest that it is only the surgical method of anastomosis which has an influence on the survival rate of free flaps, the postoperative medication has no effect.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Aug 3, 1998

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