Experience in reconstructive microsurgery at the Plastic Surgery Service of Solca Quito Hospital Solon Espinosa Ayala
Keywords:
microsurgery, microsurgical anastomoses, free flap, fibula, anterolateral thigh fla, radial forearm flapAbstract
Introduction: Microsurgery since its inception in the 60s has had a major breakthrough, has gained popularity and is accepted in the reconstruction of soft tissue, as can be solved by this technique to reconstruct defects previously impossible. Materials and methods: An observational retrospective study of 161 cases of microsurgical reconstruction was performed mainly in patients undergoing ablative cancer surgery, especially in the Solón Espinosa Ayala Hospital "SOLCA" Quito between the period 2011 and 2016 by a single plastic and reconstructive surgeon it is the first study that analyzes the success in microvascular flaps with report of 161 cases in Ecuador. Results: A total of 161 patients, 161 reconstructions were performed with microsurgical flaps, finding a success rate of 95.65%, major complications in 3.11% and minor complications by 21.74%. Conclusions: free tissue transfer has revolutionized the reconstruction of complex defects of diverse etiology, the success rate in microsurgical reconstructions is not related to increased surgeon experience, but with inherent talent
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Copyright (c) 2016 Juan Diego Salazar, Daysi Castro, Armando Serrano
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