| Online-Ressource |
Verfasst von: | Xiong, Lingyun [VerfasserIn]  |
| Kremer, Thomas [VerfasserIn]  |
| Hernekamp, Jochen-Frederick [VerfasserIn]  |
| Harhaus-Wähner, Leila [VerfasserIn]  |
| Kneser, Ulrich [VerfasserIn]  |
| Hirche, Christoph [VerfasserIn]  |
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 |
Free flaps for reconstruction of soft tissue defects in lower extremity / Xiong, Lingyun [VerfasserIn]; 05 January 2016 (Online-Ressource)