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Christoph Wallner1, Jonas Kolbenschlag2, Adrien Daigeler2

  • 1Universitätsklinik für Plastische Chirurgie und Handchirurgie, Schwerbrandverletztenzentrum, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|August 22, 2020
PubMed
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Standardized perioperative management in microsurgery is crucial for reconstructive surgery success. An expert survey revealed significant variations in current practices across German-speaking countries, highlighting a need for unified concepts.

Area of Science:

  • Reconstructive Surgery
  • Microsurgery
  • Surgical Management

Background:

  • Perioperative management is critical for successful reconstructive microsurgery.
  • Current perioperative protocols lack uniformity in German-speaking regions.
  • Significant differences exist in individual surgical schemes.

Purpose of the Study:

  • To evaluate existing perioperative management concepts in microsurgery.
  • To identify and address the lack of standardized approaches.
  • To develop a position paper based on expert consensus and literature.

Main Methods:

  • An expert survey was conducted among microsurgeons.
  • Existing perioperative management concepts were evaluated.
  • Findings were summarized in a position paper, incorporating scientific literature.

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Main Results:

  • A significant lack of uniform perioperative management concepts was confirmed.
  • Individualized management schemes show considerable variation.
  • The study identified a need for harmonized protocols.

Conclusions:

  • Standardized perioperative management is essential for optimizing outcomes in reconstructive microsurgery.
  • The findings underscore the necessity for developing unified guidelines in German-speaking countries.
  • A position paper was created to guide future practice and research.