Plastic and burns surgery

2021 ◽  
pp. 647-668
Author(s):  
Brian Chen ◽  
Simon Davis ◽  
Fynn Maguire
Keyword(s):  
Surgical Procedures ◽  
Free Flap ◽  
Reconstructive Surgery ◽  
Breast Augmentation ◽  
Skin Grafting ◽  
Anaesthetic Management ◽  
Surgical Patients ◽  
Flap Surgery ◽  
Free Flap Surgery ◽  
Surgical Operations

This chapter discusses the anaesthetic management of plastic and burns surgery. It begins with general principles of the anaesthetic management of plastic surgical patients. Surgical procedures covered include breast augmentation, reconstruction and reduction surgery; free flap surgery; liposuction; skin grafting and burns reconstructive surgery. The chapter includes pertinent anaesthetic features for a series of additional miscellaneous plastic surgical operations.

Plastic surgery

2018 ◽  
Author(s):  
Jonathan Warwick
Keyword(s):  
Plastic Surgery ◽  
Surgical Procedures ◽  
Free Flap ◽  
Breast Augmentation ◽  
Skin Grafting ◽  
Anaesthetic Management ◽  
Surgical Patients ◽  
Flap Surgery ◽  
Free Flap Surgery ◽  
Surgical Operations

This chapter discusses the anaesthetic management of plastic surgery. It begins with general principles of the anaesthetic management of plastic surgical patients. Surgical procedures covered include breast augmentation, reconstruction, and reduction surgery, correction of prominent ears, facelift (rhytidectomy), free-flap surgery, liposuction, and skin grafting. The chapter concludes with a series of vignettes of minor plastic surgical operations.

scholarly journals Clinical Update on Anaesthetic Management of Free Flap Surgery in Cervico Facial Cancer Patients

2020 ◽  
pp. 1-4
Author(s):  
Cyrus Motamed ◽  
Cyrus Motamed ◽  
Lauriane Bordenave ◽  
Stéphanie Suria
Keyword(s):  
Postoperative Pain ◽  
Free Flap ◽  
Regional Anaesthesia ◽  
Anaesthetic Management ◽  
Surgical Patients ◽  
Difficult Airway Management ◽  
Flap Surgery ◽  
Clinical Protocol ◽  
Free Flap Surgery ◽  
Peripheral Catheter

Intraoperative anaesthesia management in oro-facial cancer surgical patients requiring free flap tissue transfer is evolving. In this paper we updated our intraoperative clinical protocol using our own experience in combination with the latest literature. The main areas of change include videolaryngoscopic awake intubation in case of difficult airway management, combination of regional anaesthesia with peripheral catheter to decrease intraoperative opioid consumption, and postoperative pain and finally opioid free anaesthesia techniques using dexmedetomidine.

scholarly journals NSQIP as a Predictor of Length of Stay in Patients Undergoing Free Flap Reconstruction

OTO Open ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 2473974X1668569 ◽  
Author(s):  
Charles A. Riley ◽  
Blair M. Barton ◽  
Claire M. Lawlor ◽  
David Z. Cai ◽  
Phoebe E. Riley ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Head And Neck ◽  
Free Flap ◽  
Reconstructive Surgery ◽  
Tertiary Care ◽  
Case Series ◽  
Flap Surgery ◽  
Improvement Program ◽  
Free Flap Surgery ◽  
The Mean

Objective The National Surgical Quality Improvement Program (NSQIP) calculator was created to improve outcomes and guide cost-effective care in surgery. Patients with head and neck cancer (HNC) undergo ablative and free flap reconstructive surgery with prolonged postoperative courses. Methods A case series with chart review was performed on 50 consecutive patients with HNC undergoing ablative and reconstructive free flap surgery from October 2014 to March 2016 at a tertiary care center. Comorbidities and intraoperative and postoperative variables were collected. Predicted length of stay was tabulated with the NSQIP calculator. Results Thirty-five patients (70%) were male. The mean (SD) age was 67.2 (13.4) years. The mean (SD) length of stay (LOS) was 13.5 (10.3) days. The mean (SD) NSQIP-predicted LOS was 10.3 (2.2) days ( P = .027). Discussion The NSQIP calculator may be an inadequate predictor for LOS in patients with HNC undergoing free flap surgery. Additional study is necessary to determine the accuracy of this tool in this patient population. Implications for Practice: Head and neck surgeons performing free flap reconstructive surgery following tumor ablation may find that the NSQIP risk calculator underestimates the LOS in this population.

Reversed Arterial and Venous Flow in Free-Flap Surgery for Leg Reconstruction

2006 ◽  
Vol 22 (04) ◽  
Author(s):  
Soo Hahn ◽  
Sung Kim ◽  
Ho Kang ◽  
Sun Joo
Keyword(s):  
Free Flap ◽  
Flap Surgery ◽  
Venous Flow ◽  
Free Flap Surgery

scholarly journals Improvised perioperative techniques to meet the challenges of microvascular free flap surgery

2016 ◽  
Vol 3 (2) ◽  
pp. 99-100
Author(s):  
Soumi Pathak ◽  
Itee Chowdhury ◽  
Ajay Kumar Bhargava
Keyword(s):  
Free Flap ◽  
Neck Region ◽  
Flap Surgery ◽  
Surgical Morbidity ◽  
Head And Neck Region ◽  
Form And Function ◽  
Free Flap Surgery ◽  
And Function ◽  
Microvascular Free Flap

Deformities of the head and neck region after radical oncosurgery can have devastating effects on the appearance of the patient with significant impact on patients quality of life. Reconstruction of such defects continues to be an extremely demanding challenge for plastic surgeons who aim to restore form and function with minimal surgical morbidity. The purpose of this communications is to highlight the various interventions and the protocols that are adopted to decrease the free flap failure rate.  

scholarly journals Does Low-Dose Heparin Have a Significant Role in Free Flap Surgery?

2017 ◽  
Vol 18 (3) ◽  
pp. 162-165 ◽  
Author(s):  
Mun-Young An ◽  
Jin Yong Shin ◽  
Young-Keun Lee ◽  
M. Diya Sabbagh ◽  
Si-Gyun Roh ◽  
...  
Keyword(s):  
Significant Role ◽  
Free Flap ◽  
Low Dose ◽  
Flap Surgery ◽  
Dose Heparin ◽  
Free Flap Surgery ◽  
Low Dose Heparin

scholarly journals EP.WE.782Retrospective analysis of acute surgical admissions during COVID-19 pandemic

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shenbaga Rajamanikam ◽  
Suzzana Argyropoulos ◽  
Reza Arsalani Zadeh
Keyword(s):  
Length Of Stay ◽  
Hospital Stay ◽  
Surgical Procedures ◽  
Length Of Hospital Stay ◽  
Period Length ◽  
Surgical Patients ◽  
Surgical Team ◽  
Surgical Operations

Abstract Background COVID-19 pandemic has affected the number of surgical admissions and the number of emergency general surgical operations performed. COVID-19 pandemic has also led to changes in how some of the acute surgical patients were managed. Aim of the study was to compare acute surgical admissions and number of emergency general surgical procedures in this period. Material and Method We retrospectively analyzed acute surgical admissions during the pandemic from 20/3/20 to 19/4/20 and compared it with acute surgical admissions during pre-COVID-19 period from 1/11/2019 to 30/11/2019. Results During the COVID-19 pandemic 97 patients were assessed and admitted by the General surgical team, during the pre COVID-19 period 205 patients were assessed and admitted by the General surgical team. The number of acute surgical admissions during COVID-19 pandemic dropped by 53%. There were 46% less emergency surgeries performed during COVID 19 pandemic period. Length of stay during and before the COVID-19pandemic were 4.1 vs 4.4 days. Conclusion During the COVID-19 pandemic number of acute surgical admissions and the number of emergency surgeries were fewer than during pre COVID-19 pandemic. Length of hospital stay was less during COVID-19 pandemic.

Designing a Masterclass in free flap surgery for head and neck surgeons: Our experience

Microsurgery ◽  
2020 ◽  
Vol 40 (8) ◽  
pp. 929-929
Author(s):  
Karim Tewfik ◽  
Alfonso Manfuso ◽  
Lazzaro Cassano ◽  
Nicola Pederneschi ◽  
Chiara Copelli
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Flap Surgery ◽  
Free Flap Surgery
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