TY  - JOUR
A1  - Ziegler, Benjamin
A1  - Hundeshagen, Gabriel
A1  - Warszawski, Jan
A1  - Gazyakan, Emre
A1  - Kneser, Ulrich
A1  - Hirche, Christoph
T1  - Implementation and validation of free flaps in acute and reconstructive burn care
T2  - Medicina
N2  - Microsurgical free flap reconstruction in acute burn care offers the option of reconstructing even challenging defects in a single stage procedure. Due to altered rheological and hemodynamic conditions in severely burned patients, it bears the risk of a higher complication rate compared to microsurgical reconstruction in other patients. To avoid failure, appropriate indications for free flap reconstruction should be reviewed thoroughly. Several aspects concerning timing of the procedure, individual flap choice, selection and preparation of the recipient vessels, and perioperative measures must be considered. Respecting these specific conditions, a low complication rate, comparable to those seen in microsurgical reconstruction of other traumatic limb defects, can be observed. Hence, the free flap procedure in acute burn care is a relatively safe and reliable tool in the armamentarium of acute burn surgery. In reconstructive burn care, microsurgical tissue transfer is routinely used to treat scar contractures. Due to the more robust perioperative condition of patients, even lower rates of complication are seen in microsurgical reconstruction.
KW  - burns
KW  - microsurgery
KW  - reconstruction
KW  - free flap
Y1  - 2021
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62829
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-628294
SN  - 1648-9144
VL  - 57
IS  - 7, art. 718
SP  - 1
EP  - 11
PB  - Kaunas Univ. of Medicine
CY  - Kaunas
ER  -