Anesthesia and Surgical Microvascular Flaps
نویسندگان
چکیده
منابع مشابه
Anesthesia and surgical microvascular flaps.
BACKGROUND AND OBJECTIVES Head and neck reconstructive surgery represents a major challenge facing the need to achieve a good cosmetic and functional outcome. Anesthesia may be an important and determining factor in the technique success due to its role in hemodynamic stability and regional blood flow. On the other hand, regional anesthesia, changes in blood volume, and vasoactive drugs may inf...
متن کاملSurgical Flaps
فلاپ جراحی چیست ؟ قلاب عبارتست از یک لایه نازک بافتی که از به نقطه بدن به نقاط دیگر انتقال می یابد. غالباً در این نوع جراحی، ضمائم و مسیر گردش خون در بافتهای اهداء شده حفظ می گردد، فلاپ ممکن است شامل پوست، لایه های چربی، فاسیا، عضله یا استخوان باشد. این تکنیک جهت رفع نواقص و عیوب ناشی از صدمات و بیماریهای مختلف مانند کارسیوما نیز مورد استفاده قرار می گیرد.
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Microvascular surgery plays an important reconstructive role in the pediatric population. Successful outcomes rely on surgical technique as well as anesthesia. Regional anesthesia contributes to successful free tissue transfer through sympathetic blockade, postoperative pain control, and elimination of risks and costs associated with general anesthesia. While regional anesthesia in microsurgery...
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The free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) and deep inferior epigastric perforator (DIEP) flaps involve transferring skin and subcutaneous tissue from the lower abdominal area and have many features that make them well suited for breast reconstruction. The robust blood supply of the free flap reduces the risk of fat necrosis and also enables aggressive shaping of...
متن کاملNovel Biomarkers of Arterial and Venous Ischemia in Microvascular Flaps
The field of reconstructive microsurgery is experiencing tremendous growth, as evidenced by recent advances in face and hand transplantation, lower limb salvage after trauma, and breast reconstruction. Common to all of these procedures is the creation of a nutrient vascular supply by microsurgical anastomosis between a single artery and vein. Complications related to occluded arterial inflow an...
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ژورنال
عنوان ژورنال: Brazilian Journal of Anesthesiology
سال: 2012
ISSN: 0034-7094
DOI: 10.1016/s0034-7094(12)70156-3