Microvascular free tissue transfer

作者：Sepulveda P Sergio^*; De Carolis F Vicente; Andrades C Patricio; Benitez S Susana; Danilla E Stefan; Erazo C Cristian; Bahamonde M Luis; Sciaraffia M Carlos; Palavicino R Patricio; Calderon G Maria Elsa

来源：Revista Chilena de Cirugia, 2013, 65(6): 502-508.

DOI：10.4067/S0718-40262013000600005

• Free flaps
• reconstructive surgery
• microsurgery

Background: Microvascular free tissue transfer has gained world-wide acceptance as a means of reconstructive plastic surgery. Since1979, the authors have introduced this microsurgical procedure in our country and a total of 317 free flaps have been carried out during a period of 33 years. Aim: To present the consecutive free flaps performed at Hospital Clinic Universidad de Chile and Hospital Mutual de Seguridad between 1979-2011. Patients and Methods: Retrospective analysis of 293 patients underwent 317 microsurgical flaps. Results: 293 patients. Median age 43 years old (range 12-81). The lower limb has been the most common site (181 cases), followed by head and neck, upper limb and trunk. The most frequently used flap was the gracilis flap. A survival rate of 95% has been achieved. Follow-up range from 6 months to 9 years. Conclusion: This pioneering series in Chile using microsurgical flaps, shows a satisfactory solution in an one-stage procedure. The authors believe that free flap would be part of the armamentarium of modem plastic surgeons, frequently as a first choice.

• 出版日期2013-12