Outcome of Free Tissue Transfer By Microvascular Surgery in Nakhonpathom Hospital

Authors

  • Arnik Usanakornkul M.D., Nakhonpathom Hospital

Keywords:

free tissue transfer, microvascular surgery, success rate

Abstract

Abstract

          Objective: The purpose was to study the result of patients who be treated with Microscopic free tissue transfer reconstruction in Nakhonpathom Hospital.

           Methods: In this retrospective study,data were collected from medical records and surgical records of patients who had microvascular free tissue transfer in Nakhonpathom Hospital between July 1, 2017 to March 31, 2020. The statistics used for data analysis were percentage and mean.

           Result: Sixteen patients who have had microvascular free tissue transfer ;of these, 62.5 percent were male and the mean age was 44.8 years. According to cause of surgery, 2 cases were accidents and 14 cases from removals of tumors. Donor sites were anterolateral thigh flaps (5 cases), radial forearm flaps (5 cases), fibular flaps (5 cases), latissimus dorsi flap (1 case).The average duration of surgery was 7 hours and 51 minutes. And the success rate was 87.5 percent.

           Conclusion: The success rate of free tissue transfer by microvascular surgery in Nakhonpathom hospitalis satisfactory. It also gives good results in both usability and aesthetics. So free tissue transfer by microvascular surgery is a good choice for reconstruction in an appropriated patient.

 

References

1. Tamai S. History of microsurgery – from the beginning until the end of the 1970s. Microsurgery. 1993; 14(1):6-13. doi: 10.1002/micr.1920140105.

2. Jacobson JH, Suarez EL. Microsurgery in anastomosis of small vessels. Surg Forum. 1960; 11: 243-5.

3. Daniel RK, Taylor GI. Distant transfer of an island flap by microvascular anastomoses. A clinical technique. Plast Reconstr Surg. 1973; 52(2): 111-7. doi: 10.1097/00006534-197308000-00001

4. Wei FC, Jain V, Celik N, et al. Have we found an ideal soft–tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg.2002; 109(7): 2219-26. doi: 10.1097/00006534-200206000-00007

5. Kimura N, Saitoh M, Okamura T, et al. Concept and anatomical basis of microdissected tailoring method for free flap transfer. Plast Reconstr Surg 2009; 123(1): 152-62.doi: 10.1097/PRS.0b013e3181934756.

6. Rath T, Millesi W, Millesi–Schobel G, et al. Mucosal prelamination of a radial forearm flap for intraoral reconstruction. J Reconstr Microsurg. 1997; 13(7): 507-13.

7. Wei FC, Demirkan F, Chen HC, et al. The outcome of failed free flaps in head and neck and extremity reconstruction: what is next in the reconstructive ladder?.Plast Reconstr Surg. 2001; 108(5): 1154-60. doi: 10.1097/00006534-200110000-00007

8. Wei FC, Tay SK. Principles and techniques of microvascular surgery.In: Gurtner GC,editor. Plastic Surgery. 3rd ed. Principles;2012.968-1021.

9. Tienboon P, Pantoomkomol T. Microvascular free skin flap report of 5-case series and technics applied. Chula Med J.1983;27(5): 365-879.

10.Harashina T. Analysis of 200 free flaps.British Journal of Plastic Surgery(1988).41.33-36

Published

2020-09-30

How to Cite

1.
Usanakornkul M.D., A. Outcome of Free Tissue Transfer By Microvascular Surgery in Nakhonpathom Hospital . Reg 4-5 Med J [internet]. 2020 Sep. 30 [cited 2025 Dec. 31];39(3):364-78. available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/246185