Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery: A Narrative Review
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| Format: | Recurso digital |
| Sprache: | Englisch |
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2024
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| author | Ojuva, Aleksi Matias Rocans, Rihards Peteris Zarins, Janis Bine, Evita Mahauri, Insana Donina, Simona Mamaja, Biruta Vanags, Indulis |
| author_facet | Ojuva, Aleksi Matias Rocans, Rihards Peteris Zarins, Janis Bine, Evita Mahauri, Insana Donina, Simona Mamaja, Biruta Vanags, Indulis |
| contents | <p>Abstract: Complex microvascular techniques and in-depth knowledge of blood rheology and mi-<br>croanastomosis function are required for success in microvascular flap surgery. Substantial progress<br>has been achieved in preventing complications, but the rate of flap loss is still significant and can<br>have significant adverse effects on the patient. Flap thrombosis, flap hematoma, and flap loss are the<br>most frequent and severe major surgical complications. Advances in understanding the pathophys-<br>iology of different flap complications, the use of preoperative risk assessment and new treatment<br>concepts could improve the perioperative care of microvascular flap surgery patients. Our aim was<br>to outline novel avenues for best practice and provide an outlook for further research of anesthesia<br>and perioperative care concepts in microvascular flap surgery.</p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_3390_clinpract14050172 |
| institution | Zenodo |
| language | eng |
| publishDate | 2024 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery: A Narrative Review Ojuva, Aleksi Matias Rocans, Rihards Peteris Zarins, Janis Bine, Evita Mahauri, Insana Donina, Simona Mamaja, Biruta Vanags, Indulis anesthesia; perioperative care; microvascular flap complications; reconstructive surgery <p>Abstract: Complex microvascular techniques and in-depth knowledge of blood rheology and mi-<br>croanastomosis function are required for success in microvascular flap surgery. Substantial progress<br>has been achieved in preventing complications, but the rate of flap loss is still significant and can<br>have significant adverse effects on the patient. Flap thrombosis, flap hematoma, and flap loss are the<br>most frequent and severe major surgical complications. Advances in understanding the pathophys-<br>iology of different flap complications, the use of preoperative risk assessment and new treatment<br>concepts could improve the perioperative care of microvascular flap surgery patients. Our aim was<br>to outline novel avenues for best practice and provide an outlook for further research of anesthesia<br>and perioperative care concepts in microvascular flap surgery.</p> |
| title | Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery: A Narrative Review |
| topic | anesthesia; perioperative care; microvascular flap complications; reconstructive surgery |
| url | https://doi.org/10.3390/clinpract14050172 |