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Management strategies following microsurgical flap failure
William Lineaweaver1, Ovunc Akdemir, Arno Schleich
1Rankin Plastic Surgery Center, Brandon, MS, USA. william.lineaweaver@rmc.hma-corp.com
Microsurgery
|October 1, 2009
Summary
Microsurgical flap failure management involves reconstruction abandonment, conventional methods, or further microsurgery. Repeat microsurgical procedures show high success rates, offering valuable options for reconstructive surgeons.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Failed microsurgical flaps present complex clinical challenges.
- Management options for microsurgical flap failure require careful consideration.
Purpose of the Study:
- To review and outline management strategies following microsurgical flap failure.
- To identify patient choices and procedural success rates in reconstructive surgery.
Main Methods:
- A review of existing literature on the management of failed microsurgical flaps.
- Analysis of patient decisions regarding reconstruction, including abandonment, conventional methods, and repeat microsurgery.
Main Results:
- A significant number of patients opt to abandon reconstruction.
- Most patients (head and neck, breast, extremity) choose non-microsurgical options.
- 38% of head and neck and 35% of extremity patients undergo successful repeat microsurgery (84% success rate).
Conclusions:
- Patient management for microsurgical flap failure encompasses abandonment, conventional procedures, and further microsurgery.
- Reconstructive surgeons must be prepared to offer a diverse range of solutions.
- Repeat microsurgical procedures are a viable and successful option for many patients.
