AN AUDIT OF PEDICLED FLAP RECONSTRUCTION SURGERIES

Amir Taimur Khan1, Mansoor Khan1, Hidayat Ullah2, Syed Mohammad Haider1, Asif Aziz1, Muhammad Tahir2

1Department of Plastic and Burn Surgery Unit, Khyber Teaching Hospital, Peshawar - Pakistan
2Department of Plastic and Reconstructive Surgery, Hayatabad Medical Complex, Peshawar - Pakistan

Abstract

Objectives: To analyse the indications, post-operative results and frequency of complications for pedicled flaps reconstructive
procedures.
Material and Methods: This descriptive cross-sectional study was performed in the department of Plastic & Burns
Surgery, Khyber Teaching Hospital from January 2014 to April 2016. All the patients who has undergone reconstructive
surgeries irrespective of etiology were included in the study and their pre-operative evaluation, operative procedure
details and post-operative course were observed.
Results: A total of 123 cases with male to female ratio of 3.2:1, mean age of 42.8+1.76 SD were included with malignancies
as the most common cause and head and neck as the most common anatomical region for reconstructive
surgery. Flap necrosis was observed in 5.7% (n=7) cases, including 4 cases of insignificant and 3 cases of significant
necrosis. Wound infection noted in 6.5% (n=8) cases.
Conclusion: For most of the anatomic regions of the body especially in head and neck, upper and lower limb defects,
pedicled flaps are still the most common and acceptable reconstructive option with good survival and complication
frequencies without requiring microvascular skills.

Keywords: Flaps, reconstructive surgery, malignancy, trauma

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