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A Model of Free Tissue Transfer: The Rat Epigastric Free Flap
Published on: January 15, 2017
Microsurgical free flaps at Kathmandu Model Hospital
S M Rai1, D Grinsell2, D Hunter-Smith3
1Department of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.
Journal of Nepal Health Research Council
|January 10, 2015
Summary
Microsurgery in Nepal, initiated in 2007, involved 56 free flaps primarily for neoplasms and post-burn contractures. Despite challenges, microsurgery is feasible in resource-limited settings with institutional commitment.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Microsurgery emerged in Nepal in 2007 at Kathmandu Model Hospital, supported by Interplast Australia and New Zealand.
- This study establishes a baseline for microsurgical free flap outcomes and challenges in Nepal.
Purpose of the Study:
- To evaluate the outcomes and challenges of microsurgical free flaps performed in Nepal.
- To provide a baseline for future microsurgical research in resource-limited settings.
Main Methods:
- Retrospective cross-sectional study of microsurgical free flaps.
- Data collected from clinical records at Kathmandu Model Hospital between April 2007 and April 2014.
Main Results:
- Fifty-six free flaps were performed, with neoplasms being the most common indication.
- Radial artery forearm flap was most frequent; fibula flaps were primarily used for mandibular reconstruction.
- Complications occurred in 26% of patients, with an average operative time of nine hours and an average hospital stay of fourteen days.
Conclusions:
- Microsurgery can be successfully implemented in resource-poor settings.
- Institutional commitment and support from advanced centers are crucial for establishing microsurgical services.
