Reducing Risks for Local Skin Flap Failure.

Local tissue flaps are a fundamental technique in cutaneous reconstruction. Reducing the risk of flap failure is of critical importance. The intrinsic vascularity of a flap is the most important determinant of success. Good surgical techniques, including flap design, delicate tissue handling, and tension-less closure, help reduce the risk of flap compromise. Determining the etiology of compromise, including arterial, venous, hematologic, or infectious, is the first step in salvaging a failing flap. Common causes include pedicle kinking, hematoma, pressure/tension, systemic patient factors, and poor surgical technique. Swift action to restore perfusion or venous outflow through numerous strategies is required. Copyright © 2023 Elsevier Inc. All rights reserved.

Citation

David B Hom, Benjamin T Ostrander. Reducing Risks for Local Skin Flap Failure. Facial plastic surgery clinics of North America. 2023 May;31(2):275-287

Mesh Tags

PMID: 37001930

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