Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery: A Narrative Review

Aleksi Matias Ojuva (Corresponding Author), Rihards Peteris Rocans, Jānis Zariņš, Evita Bine, Insana Mahauri, Simona Doniņa, Biruta Mamaja, Indulis Vanags

Research output: Contribution to journalReview articlepeer-review

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
Original languageEnglish
Pages (from-to) 2187–2201
Number of pages15
JournalClinics and Practice
Volume14
Issue number5
DOIs
Publication statusPublished - 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

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