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Microvascular free tissue transfer: results in 57 consecutive cases
J D Fowler1, D A Degner, R Walshaw
1Department of Veterinary Anesthesiology, Radiology, and Surgery, Western College of Veterinary Medicine, Saskatoon, Saskatchewan, Canada.
Veterinary Surgery : VS
|September 28, 1998
Summary
This study shows that microvascular reconstructive surgery in animals has a high success rate (93% flap survival). Surgeon experience is crucial for successful outcomes, especially with latissimus dorsi flaps.
Area of Science:
- Veterinary Surgery
- Microsurgery
- Tissue Engineering
Background:
- Microvascular reconstructive procedures are complex surgical techniques.
- Evaluating outcomes in veterinary microsurgery is essential for advancing the field.
Purpose of the Study:
- To assess the outcomes and complications of microvascular reconstructive procedures in animals.
- To identify factors influencing the success of these surgeries.
Main Methods:
- Retrospective review of medical records from two veterinary institutions.
- Analysis of 57 microvascular procedures performed on 55 animals (44 dogs, 1 wallaby).
- Statistical analysis to correlate operative factors with flap survival and complications.
Main Results:
- Overall flap survival rate was 93% (53 out of 57 flaps).
- Flap failure was significantly associated with the experience level of the assistant surgeon.
- Latissimus dorsi flaps showed a higher failure rate compared to other flap types.
Conclusions:
- Microvascular tissue transfer in animals is highly successful, comparable to human reconstructive surgery.
- Surgeon experience, particularly the assistant's, is critical for successful outcomes.
- Latissimus dorsi flap failures may be linked to recipient site issues or lack of experienced assistance, not flap design.