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Related Experiment Videos

Developing Microsurgery through Experience in Yangon General Hospital, Myanmar.

Yi Yi Cho Thein1, Myitzu Win1, Moe Thuzar1

  • 1Department of Plastic, Maxillofacial and Oral Surgery, Yangon General Hospital, University of Medicine (1), Yangon, Myanmar.

Acta Medica Okayama
|October 26, 2019
PubMed
Summary

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Microsurgery in Myanmar improved significantly, with free flap reconstructions increasing and survival rates rising. Establishing a dedicated microsurgical center requires a multidisciplinary team and continuous learning.

Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Microsurgery is challenging in resource-poor settings like Myanmar.
  • Educational programs and volunteer teams can facilitate microsurgical training.
  • Baseline data is needed to understand microsurgery challenges in developing countries.

Purpose of the Study:

  • To establish baseline data for microsurgery at Yangon General Hospital, Myanmar.
  • To define the challenges and outcomes of performing microsurgery in a resource-limited environment.

Main Methods:

  • Retrospective review of 64 free flap reconstructions from January 2015 to January 2018.
  • Analysis of clinical records to assess flap survival, revision rates, and operative duration.
  • Evaluation of factors contributing to successful microsurgical outcomes.
Keywords:
challenges of microsurgical free flapseducational programsflap salvageable ratemicrosurgeryreoperation

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Main Results:

  • Free flap reconstructions increased from 11 to 24 cases annually over three years.
  • Anterolateral thigh flap was most common (42%); mandible and intraoral defects were frequent reconstruction sites.
  • Overall flap survival was 89% (58/64), with salvageable flap rates for revision surgery at 66.6%.

Conclusions:

  • Microsurgical capabilities improved with increased clinical experience, evidenced by rising flap salvage rates and decreased operative times.
  • Successful establishment of a microsurgical center necessitates a robust multidisciplinary team, continuous education, and effective collaboration.
  • The study highlights the feasibility and improving outcomes of microsurgery in resource-limited settings with dedicated training and support.