Abstract
Complex microvascular techniques and in-depth knowledge of blood rheology and microanastomosis function are required for success in microvascular flap surgery. Substantial progress
has been achieved in preventing complications, but the rate of flap loss is still significant and can
have significant adverse effects on the patient. Flap thrombosis, flap hematoma, and flap loss are the
most frequent and severe major surgical complications. Advances in understanding the pathophysiology of different flap complications, the use of preoperative risk assessment and new treatment
concepts could improve the perioperative care of microvascular flap surgery patients. Our aim was
to outline novel avenues for best practice and provide an outlook for further research of anesthesia
and perioperative care concepts in microvascular flap surgery
has been achieved in preventing complications, but the rate of flap loss is still significant and can
have significant adverse effects on the patient. Flap thrombosis, flap hematoma, and flap loss are the
most frequent and severe major surgical complications. Advances in understanding the pathophysiology of different flap complications, the use of preoperative risk assessment and new treatment
concepts could improve the perioperative care of microvascular flap surgery patients. Our aim was
to outline novel avenues for best practice and provide an outlook for further research of anesthesia
and perioperative care concepts in microvascular flap surgery
Original language | English |
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Pages (from-to) | 2187–2201 |
Number of pages | 15 |
Journal | Clinics and Practice |
Volume | 14 |
Issue number | 5 |
DOIs | |
Publication status | Published - 18 Oct 2024 |
Keywords*
- anesthesia; perioperative care; microvascular flap complications; reconstructive surgery
Field of Science*
- 3.2 Clinical medicine
- 3.1 Basic medicine
Publication Type*
- 1.1. Scientific article indexed in Web of Science and/or Scopus database