Flap monitoring after head and neck reconstruction: evaluating an observation protocol
| العنوان: | Flap monitoring after head and neck reconstruction: evaluating an observation protocol |
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| المؤلفون: | Vaughan Ed, Potter La, Brown Js, J.C. Devine, P. Magennis |
| المصدر: | Journal of Wound Care. 10:525-529 |
| بيانات النشر: | Mark Allen Group, 2001. |
| سنة النشر: | 2001 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Time Factors, Nursing (miscellaneous), Clinical manifestation, Surgical Flaps, Time difference, Humans, Medicine, Head and neck, Nursing Assessment, Vascular Patency, Aged, Monitoring, Physiologic, Retrospective Studies, Postoperative Care, Salvage Therapy, business.industry, Microcirculation, Ultrasonography, Doppler, Middle Aged, Surgery, Nursing Evaluation Research, Head and Neck Neoplasms, Female, Fundamentals and skills, Skin Temperature, business |
| الوصف: | This study evaluated the postoperative free-flap monitoring frequency protocol used in a maxillofacial unit for patients receiving free-tissue transfer for reconstruction following orofacial cancer. All free-tissue transfers undertaken in the unit between January 1992 and October 1998 were reviewed retrospectively. Of the 370 patients evaluated, 46 returned to theatre with compromised free flaps. The compromise was purely venous in origin in 37 of these cases, arterial in three and due to a combination of arterial and venous problems in six. Thirty-five of the flaps were successfully salvaged. On average, the clinical manifestation of the problem occurred 25.5 hours postoperatively. However, there was a significant time difference between flaps that were salvaged successfully and those that were not: in the salvaged group the compromise was identified 17.5 hours postsurgery compared with 51 hours for the unsuccessful group. The timing of the return to theatre following the identification of the compromise was a significant factor in the success rate: 71 minutes for those salvaged and 103 minutes for those not salvaged. It is recommended that flaps are monitored hourly for the first 72 postoperative hours and observations recorded on a chart. |
| تدمد: | 2052-2916 0969-0700 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d11bb76feaf52ca16666104b2b6235b6 https://doi.org/10.12968/jowc.2001.10.1.26037 |
| رقم الأكسشن: | edsair.doi.dedup.....d11bb76feaf52ca16666104b2b6235b6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20522916 09690700 |
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