Strategy for Reoperative Free Flaps after Failure of a First Flap

摘要: Background: Free vascularized tissue transfer is generally associated with high success rates, but failures do occur. After a flap failure, the decision often made to perform second, reoperative free flap. Methods: A retrospective review of all microsurgical transfers performed at authors’ institution identified 13 patients who underwent after failed primary The records these were reviewed, particular emphasis on identifying changes in treatment strategy between initially and Results: Thirteen as having undergone In nine flaps, least one likely cause for failure was (69 percent). approach second flap, 10 cases (77 percent); 11 successful (85 One two third attempt transfer, which also failed. Conclusions: overall includes following four steps: (1) reconsideration need (2) sensitive psychosocial patient family, (3) analysis first (4) change strategy. Based experience, they consider previously flaps without an obvious be contraindication attempt.