ISSN: 2155-6148
Prucher GM
Italy
Review Article
Anaesthetic Challenging in Microsurgical Flap Reconstruction: A Systematic Review
Author(s): Lauretta MP, Caporali L, Manera S, Prucher GM, Melotti RM
Lauretta MP, Caporali L, Manera S, Prucher GM, Melotti RM
Background: Anaesthetic management for microvascular reconstructive surgery is challenging and clearly affects the risk of major complications such as flap hypo-perfusion.
In this systematic review we explore recent (last 7 years) clinical evidences related to perioperative management and anaesthetic controversy of patients undergoing microvascular reconstructive surgery, especially focused on head and neck surgery with free flaps (FF) and breast reconstructive surgery with deep inferior epigastric perforator flap (DIEP-flap).
Methods: A literature search of published clinical studies between 2011 and 2018 was conducted, yielding a total of 4307 papers. Only 150 were eligible, according inclusion and exclusion criteria.
Results: 62 studies were selected for this review and categorized in 3 groups: preoperative-.. View More»
DOI:
10.4172/2155-6148.1000806