TIMING OF MICROSURGICAL RECONSTRUCTION OF LOWER EXTREMITY: IS IT REALLY IMPORTANT IN FLAP FAILURE?

Fatih ZOR, Serdar ÖZTÜRK, İsmail ŞAHİN, Selçuk ISIK

Özet


Landmine injuries of the lower extremity constitute a challenging problem to the reconstructive surgeon. These injuries create composite tissue defects which are always contaminated. The transfer of the patient to a well established center generally takes time. All these factors yield a delay at the definitive treatment of the patient. Here, we want to present 109 patients injured by landmine explosions and treated at different times and discuss the effect of timing of the microvascular tissue transfer on success of the procedure. All patients were injured due to landmine explosion and reconstructed with microvascular tissue transfer. The flap success rate and postoperative complications were evaluated. The average follow-up period was 19 months. Of the 109 patients 12 were operated between 0-7 days (at the acute period). Forty-two of them were operated at the subacute period (between 7-14 days) and the remaining 55 were operated at the chronic period (more than 14 days). There was no flap loss at the patients whom were operated between 0-7 days. Flap failure rate was 16.7 % and 14.5 % for the subacute and chronic periods respectively and the difference was not significant. No postoperative infection was observed at the acute period. Postoperative infection rate was 16.7 % and 7.3 % at subacute and chronic period respectively, and the difference was statistically significant. When the surgery is performed according to microvascular principles subacute period does not differs from chronic period when the flap failure is concerned. Subacute period is associated with a higher infection rate.

Tam Metin:

PDF


Online ISSN:2528-8644
Basılı ISSN:1300-6878 (önceki)

Türk Plastik Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg),
Türk Plastik Rekonstrüktif ve Estetik Cerrahi Derneği'nin, Estetik Plastik Cerrahi Derneği'nin, Türkiye Interplast Derneği'nin ve Çene Yüz Cerrahları Derneği'nin yayın organıdır.