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유리피판 이식술 174예의 분석
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 탁관철 | - |
dc.date.accessioned | 2019-11-11T05:41:11Z | - |
dc.date.available | 2019-11-11T05:41:11Z | - |
dc.date.issued | 2000 | - |
dc.identifier.issn | 1226-2706 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/172079 | - |
dc.description.abstract | One hundred & seventy four consecutive free-flap transfers were reviewed to analyze distribution of the type of reconstructions, kinds of donor flaps as well incidence of complications. The role of emergent exploration and the effect of preoperative wound conditions in flap survival were evaluated. Free flap transfer for head and neck reconstruction was most common as 93 cases, followed by for upper extremity of 30 cases, for lower extremity 30 cases, 18 penile reconstructions and for trunk & breast 3 cases. Nine flaps exhibited signs of ciruclatory insufficiency between 5 hours and 7 days. Three were managed conservatively with ultimate partial necrosis of the flaps. Eight flaps required return to the operating room. On exploration, early arterial occlusion was revealed in 1 flap, late arterial occlusion in 2 flaps, early venous occlusion in 1 flap, late venous thrombosis in 2 flaps, prolonged venous spasm in 1 and hematoma in 1 flap. The average time from the first abnormal examination to exploration was 2.6 hours. There were no false-positive explorations. Four free flaps failed in spite of the correction of the cause of circulatory compromise. The remaining 4 flaps were salvaged following the correction the casuse. Recipient vessel problems such as irradiation and infection were the most common cause of circulatory crisis. Among the eight flaps requiring return to the operating room, single vein was anastomosed in three flaps and two veins in the remaining five. In the totally failed four flaps only single vein was anastomosed in three cases. The results of this study demonstrate the efficacy of clinical monitoring and the role of early exploration. Precautious selection of recipient vessels and two vein anastomosis are recommended for safe and better prognosis. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한미세수술학회 | - |
dc.relation.isPartOf | Journal of the Korean Society for Microsurgery (대한미세수술학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | 유리피판 이식술 174예의 분석 | - |
dc.title.alternative | Analysis of 174 Consecutive Free Flaps | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Plastic and Reconstructive Surgery (성형외과학교실) | - |
dc.contributor.googleauthor | 탁관철 | - |
dc.contributor.googleauthor | 노태석 | - |
dc.contributor.localId | A04236 | - |
dc.relation.journalcode | J01853 | - |
dc.identifier.eissn | 2288-2480 | - |
dc.subject.keyword | Free flap | - |
dc.subject.keyword | Early exploration | - |
dc.subject.keyword | Free flap failure | - |
dc.subject.keyword | Anterial occlusion | - |
dc.subject.keyword | Venous occlusion | - |
dc.subject.keyword | Venous | - |
dc.contributor.alternativeName | Tark, Kwan Chul | - |
dc.contributor.affiliatedAuthor | 탁관철 | - |
dc.citation.volume | 9 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 15 | - |
dc.citation.endPage | 22 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Society for Microsurgery (대한미세수술학회지), Vol.9(1) : 15-22, 2000 | - |
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