Management of complications with flap procedures and replantation

Hand Clin. 2015 May;31(2):339-44. doi: 10.1016/j.hcl.2015.01.008. Epub 2015 Feb 28.

Abstract

Replantation and flap procedures employ microvascular techniques to salvage or reconstruct a severely damaged limb or digit. The most devastating complications include complete or partial flap loss, or replantation failure due to vascular complications. Often, these complications can be prevented by appropriate patient selection, careful surgical planning, meticulous technique, and proper postoperative management. This article discusses complications related to replantation and flap procedures in the upper limb, focusing on preventing and managing these complications.

Keywords: Complication; Free flap; Microsurgery; Microvascular; Replant.

Publication types

  • Review

MeSH terms

  • Amputation, Traumatic / complications
  • Amputation, Traumatic / surgery
  • Arm Injuries / complications
  • Arm Injuries / surgery*
  • Hand Injuries / complications
  • Hand Injuries / surgery*
  • Humans
  • Microsurgery
  • Replantation / adverse effects*
  • Surgical Flaps / adverse effects*
  • Upper Extremity / injuries
  • Upper Extremity / surgery