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Verfasst von:Xiong, Lingyun [VerfasserIn]   i
 Kremer, Thomas [VerfasserIn]   i
 Hernekamp, Jochen-Frederick [VerfasserIn]   i
 Harhaus-Wähner, Leila [VerfasserIn]   i
 Kneser, Ulrich [VerfasserIn]   i
 Hirche, Christoph [VerfasserIn]   i
Titel:Free flaps for reconstruction of soft tissue defects in lower extremity
Titelzusatz:A meta-analysis on microsurgical outcome and safety
Verf.angabe:Lingyun Xiong, Emre Gazyakan, Thomas Kremer, Frederick J. Hernekamp, Leila Harhaus, Michel Saint-Cyr, Ulrich Kneser, and Christoph Hirche
E-Jahr:2016
Jahr:05 January 2016
Umfang:14 S.
Teil:volume:36
 year:2016
 number:6
 pages:511-524
 extent:14
Fussnoten:Gesehen am 28.09.2021
Titel Quelle:Enthalten in: Microsurgery
Ort Quelle:New York, NY [u.a.] : Wiley-Liss, 1979
Jahr Quelle:2016
Band/Heft Quelle:36(2016), 6, Seite 511-524
ISSN Quelle:1098-2752
Abstract:Background Microsurgical free flaps for reconstruction of soft tissue defects in lower extremity have evolved into a reliable procedure over last decades; however, there lacked high level of evidence. Methods A systematic literature research was performed including studies between 2000 and 2014 in English, German, and Chinese (PubMed, EMBASE). Publications were selected applying inclusion/exclusion criteria. Postoperative complications were statistically analyzed with metaprop command of R GUI 3.0.1. Results Alltogether 30 articles overlooking 1,397 free flaps were included. The rate of total flap loss was 6.0% (95% confidence interval [CI] = 4.0%-8.0%, PQ (P values of Q statistics) = 0.03); the thrombosis rate was 6.0% (95% CI = 4.0%-9.0%, PQ = 0.01); the hematoma rate was 4.0% (95% CI = 3.0%-5.0%, PQ = 0.79); the partial necrosis rate was 6.0% (95% CI = 4.0%-10.0%, PQ < 0.01); the early infection rate was 4.0% (95% CI = 2.0%-6.0%, PQ = 0.03), and the dehiscence rate was 3.0% (95% CI = 2.0%-5.0%, PQ = 0.12). Reconstruction for diabetic foot may be not associated with a significant increase of procedural risk (Total flap loss rate = 6%, 95% CI = 3.0%-9.0%, PQ = 0.44). Conclusions Microsurgical reconstruction of soft tissue defects in the lower extremity reconstruction could be regarded safe and reliable. A standardization of report of perioperative parameters and clinical outcomes is needed.
DOI:doi:10.1002/micr.30020
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1002/micr.30020
 Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/micr.30020
 DOI: https://doi.org/10.1002/micr.30020
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:177195440X
Verknüpfungen:→ Zeitschrift

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