Home|Journals|Articles by Year Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Research

Natl J Med Res. 2019; 9(2): 85-89


Free flap reconstruction in pediatric patients a seven years single institutional experience

PRADEEP GOIL, RUSHIN BHUPENDRABHAI THAKOR, ADITYA NANASAHEB PATIL, PRATIK SHAH, AYUSH JAIN, SHARAD KUMAR.

Abstract
BACKGROUND: Microvascular surgery in the pediatric age group is challenging due to technical difficulties in dealing with comparatively smaller vessel size. However, with enhanced magnification and better training, expertise in this area is improving.
METHODS: A retrospective record review of all pediatric patients who underwent microvascular reconstruction for various indications was undertaken. This study was performed at a tertiary care referral center over a seven-year period (August 2010 to July 2017). Children under the age of 15 years were included. Demographic profile, indications, operative records and outcomes were retrieved and analyzed. Our experience in such cases and outcomes are presented.
RESULTS: Records of a total of 48 patients were identified and included in this study. The mean age was 9.5 years. Defects were most commonly located over the head and neck (n=24), followed by lower extremity (n=19) and upper extremity (n=5). The free flap was chosen based on the need and availability of tissue on a case-per-case basis. Re-exploration was required in 5 cases and complications occurred in 7 cases. The overall success rate was 91.67%.
CONCLUSION: Microvascular surgery in children is safe and reliable. Considerably improved outcomes have been recently reported. The indications, success and complication rates are almost identical to adults. Availability of experienced surgical team, which has been a major hurdle, is now increasing available. Knowledge of multiple reconstructive options and mastering them of them seems essential for consistent results.

Key words: pediatric; free flap; reconstruction; microvascular surgery


Full-text options

Full-text Article




Advertisement
Applied Medical Research

SUBMIT YOUR ARTICLE NOW




ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.