Pedicled Flap and Free Flap Library

2004 ◽  
pp. 357-364
Author(s):  
Eric Arcilla ◽  
Prosper Benhaim
Keyword(s):  
Free Flap ◽  
Pedicled Flap

Surgical Site Infections in Major Head and Neck Surgeries Involving Pedicled Flap Reconstruction

2016 ◽  
Vol 126 (1) ◽  
pp. 20-28 ◽  
Author(s):  
Neerav Goyal ◽  
Bharat B. Yarlagadda ◽  
Daniel G. Deschler ◽  
Kevin S. Emerick ◽  
Derrick T. Lin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Head And Neck ◽  
Free Flap ◽  
Operating Time ◽  
Surgical Site Infections ◽  
Free Flaps ◽  
Neck Surgery ◽  
Pedicled Flap ◽  
American Society ◽  
Clean Contaminated

Objective: To evaluate surgical site infections (SSI) after pedicled reconstruction in head and neck surgery. Methods: Records of patients with pedicled flap reconstructions between 2009 and 2014 at Massachusetts Eye and Ear were reviewed. Onset of SSI or fistula ≤30 days postoperatively was noted. A free flap cohort was reviewed for comparison. Results: Two hundred and eight pedicled reconstructions were performed for cancer (83%), osteoradionecrosis (7%), and other reasons (10%). Most (72%) cases were clean-contaminated and American Society of Anesthesiologists classification 3 or higher (73%); 63% of patients had prior radiation. The SSIs occurred in 9.1% and were associated with a longer length of stay ( P = .004) but no particular risk factors. Seventeen patients developed a fistula (11 without SSI). The SSI rates were not significantly different between pedicled and free flaps, but pedicled flap patients were older, more likely to have had prior surgery and/or radiation, and be methicillin-resistant Staphylococcus aureus positive. In the combined population, multivariate analysis demonstrated clean-contaminated wound classification ( P = .03), longer operating time ( P = .03), and clindamycin prophylaxis ( P = .009) as SSI risk factors. Conclusions: The SSI rate following pedicled flap surgeries was low and similar to free flap surgeries despite a significantly different population. No specific risk factors were associated with developing a pedicled flap SSI.

Comparison between free flap and pectoralis major pedicled flap for reconstruction in oral cavity cancer patients – A quality of life analysis

Oral Oncology ◽  
2011 ◽  
Vol 47 (6) ◽  
pp. 522-527 ◽  
Author(s):  
Chih-Yu Hsing ◽  
Yong-Kie Wong ◽  
Ching Ping Wang ◽  
Chen-Chi Wang ◽  
Rong-San Jiang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Cavity ◽  
Cancer Patients ◽  
Free Flap ◽  
Oral Cavity Cancer ◽  
Pedicled Flap ◽  
Pectoralis Major ◽  
Life Analysis

scholarly journals Patterns of Post-Mastectomy Radiotherapy in Immediate Breast Reconstruction – Results from the iBRA-2 Cohort Study

2021 ◽  
Author(s):  
Tim Rattay ◽  
Adam Trickey ◽  
Rachel L O'Connell ◽  
Rajiv V Dave ◽  
Joanna Skillman ◽  
...  
Keyword(s):  
Cohort Study ◽  
Breast Reconstruction ◽  
Free Flap ◽  
Immediate Breast Reconstruction ◽  
Pedicled Flap ◽  
Reconstruction Technique ◽  
Breast Cancer Patients ◽  
The North ◽  
Lower Stage ◽  
The Uk

Abstract PurposeLong-term data indicates that post-mastectomy radiotherapy (PMRT) is associated with improved overall survival in all node-positive breast cancer patients. Immediate breast reconstruction (IBR) remains controversial in the context of planned PMRT, but rates of IBR are increasing. The aim of this study was to examine current practice of PMRT in patients undergoing mastectomy +/- IBR.MethodsData were collected from 2,526 patients enrolled in the iBRA-2 prospective cohort study undergoing mastectomy +/- IBR between 1st July and 31st December 2016, recruited consecutively at 71 centres across the United Kingdom, Ireland, and five international centres.ResultsOf a total of 2,590 breast procedures included in the analysis, 696 were implant-based, 105 pedicled flap and 230 free-flap reconstruction. 31.4% of implant-based, 34.3% of pedicled, and 32.5% of free-flap reconstructions were recommended for PMRT. PMRT recommendation by cancer stage was 21% for T1-2 N0, 65% for T1-2 N1, and 89% for Tany N2 and T3 Nany disease. On multivariate analysis, patients undergoing IBR were no less likely to be recommended for PMRT than patients having mastectomy only. However, patients in Northern Ireland/Ireland, the North of England, and Scotland were less likely to be recommended for PMRT.ConclusionAlthough IBR was more likely to be performed for lower stage cancers and younger patients with fewer co-morbidities, patients undergoing IBR were no less likely to be recommended for PMRT, irrespective of reconstruction technique. This study also highlighted regional variation in PMRT practice within the UK which merits further investigation.

Free Flap Versus Pedicled Flap Reconstruction of Laryngopharyngeal Defects: A 10-Year National Surgical Quality Improvement Program Analysis

2018 ◽  
Vol 129 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Yarah M. Haidar ◽  
Edward C. Kuan ◽  
Sunil P. Verma ◽  
Julie A. Goddard ◽  
William B. Armstrong ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Free Flap ◽  
Program Analysis ◽  
Pedicled Flap ◽  
Quality Improvement Program ◽  
Flap Reconstruction ◽  
Improvement Program ◽  
Surgical Quality

The Omental Free Flap—A Review of Usage and Physiology

2017 ◽  
Vol 34 (03) ◽  
pp. 151-169 ◽  
Author(s):  
Daniel Mazzaferro ◽  
Ping Song ◽  
Sameer Massand ◽  
Rohit Jaiswal ◽  
Lee Pu ◽  
...  
Keyword(s):  
Free Flap ◽  
Pedicled Flap ◽  
The Body ◽  
Clinical Papers ◽  
Reconstructive Procedures ◽  
Wound Coverage ◽  
History Of ◽  
Cerebrospinal Fluid Leaks ◽  
History Of Use ◽  
Rich History

Background The omental flap has a rich history of use over the last century, and specifically as a free flap in the last four decades. It has a wide variety of applications in reconstructive surgery and has shown itself to be a reliable donor tissue. We seek to review the properties that make the omental free flap a valuable tool in reconstruction, as well as its many surgical applications in all anatomic regions of the body. Methods We conducted a narrative review of the literature on Medline and Google Scholar. We reviewed basic science articles discussing the intrinsic properties of omental tissue, along with clinical papers describing its applications. Results The omental free flap is anatomically suitable for harvest and wound coverage and has molecular properties that promote healing and improve function at recipient sites. It has demonstrated utility in a wide variety of reconstructive procedures spanning the head and neck, extremities, and viscera and for several purposes, including wound coverage, lymphedema treatment, and vascularization. It is also occasionally employed in the thoracic cavity and chest wall, though more often as a pedicled flap. More novel uses include its use for cerebrospinal fluid leaks. Conclusions The omental free flap is a valuable option for reconstructive efforts in nearly all anatomic regions. This is a result of its inherent anatomy and vascularity, and its angiogenic, immunogenic, and lymphatic properties.

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