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Multiple microvascular transplants: a preliminary report of simultaneous versus sequential reconstruction
T M Whitney1, H J Buncke, W C Lineaweaver
1Microsurgical Service, Davies Medical Center, San Francisco, CA 94114.
Annals of Plastic Surgery
|May 1, 1989
Summary
Multiple microvascular transplants (MMTs) offer a 95% success rate for complex wound reconstruction. Simultaneous MMTs are reliable and cost-effective, reducing patient morbidity without increasing complications.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Complex extremity and head/neck wounds often require advanced reconstructive techniques.
- Multiple microvascular transplants (MMTs) are utilized for intricate tissue repair.
Observation:
- A 10-year review analyzed 198 MMTs in 94 patients, comparing simultaneous versus sequential transplantations.
- Group I (simultaneous MMTs) had 38 patients and 76 flaps; Group II (sequential MMTs) had 56 patients and 122 flaps.
Findings:
- Overall MMT success rate was 95%, with no significant difference between simultaneous (97%) and sequential (93.4%) groups.
- Sequential lower extremity reconstructions showed higher complication and failure rates.
- Simultaneous MMTs necessitated more emergent reexplorations but yielded high salvage rates (87.5%).
Implications:
- Simultaneous MMTs represent a reliable, cost-effective reconstructive strategy.
- This approach minimizes patient morbidity by avoiding repeat hospitalizations and reoperations.
- Simultaneous MMTs can be safely employed for complex injuries without compromising outcomes.