Reducing Risks for Local Skin Flap Failure - 30/03/23
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Résumé |
Local tissue flaps are a fundamental technique in cutaneous reconstruction. Reducing the risk of flap failure is of critical importance. The intrinsic vascularity of a flap is the most important determinant of success. Good surgical techniques, including flap design, delicate tissue handling, and tension-less closure, help reduce the risk of flap compromise. Determining the etiology of compromise, including arterial, venous, hematologic, or infectious, is the first step in salvaging a failing flap. Common causes include pedicle kinking, hematoma, pressure/tension, systemic patient factors, and poor surgical technique. Swift action to restore perfusion or venous outflow through numerous strategies is required.
Le texte complet de cet article est disponible en PDF.Keywords : Local flaps, Flap salvage, Reconstruction, Facial plastic surgery, Mohs surgery, Plastic and reconstructive surgery
Plan
Vol 31 - N° 2
P. 275-287 - mai 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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