A review of free flap failures in the University Hospital, Kuala Lumpur
Sixty-one free flaps performed in 59 patients from April 1983 to April 1995 were analysed. Various factors that might have affected the outcome of the surgery were studied. These included the patient's age, history of smoking, pre-existing medical problems such as hypertension and diabetes mell...
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Academy of Medicine, Singapore
1997
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my.um.eprints.30022020-02-18T02:59:21Z http://eprints.um.edu.my/3002/ A review of free flap failures in the University Hospital, Kuala Lumpur Ahmad, T.S. Musa, G. Lee, J.K. R Medicine Sixty-one free flaps performed in 59 patients from April 1983 to April 1995 were analysed. Various factors that might have affected the outcome of the surgery were studied. These included the patient's age, history of smoking, pre-existing medical problems such as hypertension and diabetes mellitus, the type of free flaps, flap infection, use of postoperative anticoagulation, postoperative anaemia and re-exploration. The infection rate was 16.4% and this had a strong correlation with the free flap failure in our study population. Postoperative anaemia could adversely affect the tissue oxygenation of the free flap and delay the re-exploration due to the high anaesthetic risk. Dextran was routinely used for postoperative anticoagulation. There were also rescue attempts using heparin infusion when needed. The overall failure rate was 13.1%. Besides good anaesthetic support, a well-prepared protocol is necessary both for the preoperative planning of free flap surgery as well as salvaging a failure. Academy of Medicine, Singapore 1997 Article PeerReviewed Ahmad, T.S. and Musa, G. and Lee, J.K. (1997) A review of free flap failures in the University Hospital, Kuala Lumpur. Annals, Academy of Medicine, Singapore, 26 (6). pp. 840-843. ISSN 0304-4602 http://www.ncbi.nlm.nih.gov/pubmed/9522989 |
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R Medicine Ahmad, T.S. Musa, G. Lee, J.K. A review of free flap failures in the University Hospital, Kuala Lumpur |
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Sixty-one free flaps performed in 59 patients from April 1983 to April 1995 were analysed. Various factors that might have affected the outcome of the surgery were studied. These included the patient's age, history of smoking, pre-existing medical problems such as hypertension and diabetes mellitus, the type of free flaps, flap infection, use of postoperative anticoagulation, postoperative anaemia and re-exploration. The infection rate was 16.4% and this had a strong correlation with the free flap failure in our study population. Postoperative anaemia could adversely affect the tissue oxygenation of the free flap and delay the re-exploration due to the high anaesthetic risk. Dextran was routinely used for postoperative anticoagulation. There were also rescue attempts using heparin infusion when needed. The overall failure rate was 13.1%. Besides good anaesthetic support, a well-prepared protocol is necessary both for the preoperative planning of free flap surgery as well as salvaging a failure. |
format |
Article |
author |
Ahmad, T.S. Musa, G. Lee, J.K. |
author_facet |
Ahmad, T.S. Musa, G. Lee, J.K. |
author_sort |
Ahmad, T.S. |
title |
A review of free flap failures in the University Hospital, Kuala Lumpur |
title_short |
A review of free flap failures in the University Hospital, Kuala Lumpur |
title_full |
A review of free flap failures in the University Hospital, Kuala Lumpur |
title_fullStr |
A review of free flap failures in the University Hospital, Kuala Lumpur |
title_full_unstemmed |
A review of free flap failures in the University Hospital, Kuala Lumpur |
title_sort |
review of free flap failures in the university hospital, kuala lumpur |
publisher |
Academy of Medicine, Singapore |
publishDate |
1997 |
url |
http://eprints.um.edu.my/3002/ http://www.ncbi.nlm.nih.gov/pubmed/9522989 |
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1662755124110426112 |