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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

SEPULVEDA P, SERGIO et al. Microvascular free tissue transfer. Rev Chil Cir [online]. 2013, vol.65, n.6, pp.502-508. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262013000600005.

Background: Microvascular free tissue transfer has gained world-wide acceptance as a means of reconstructive plastic surgery. Since 1979, the authors have introduced this microsurgical procedure in our country and a total of 317 free flaps have been carried out during a period of 33 years. Aim: To present the consecutive free flaps performed at Hospital Clinico Universidad de Chile and Hospital Mutual de Seguridad between 1979-2011. Patients and Methods: Retrospective analysis of 293 patients underwent 317 microsurgical flaps. Results: 293 patients. Median age 43 years old (range 12-81). The lower limb has been the most common site (181 cases), followed by head and neck, upper limb and trunk. The most frequently used flap was the gracilis flap. A survival rate of 95% has been achieved. Follow-up range from 6 months to 9 years. Conclusion: This pioneering series in Chile using microsurgical flaps, shows a satisfactory solution in an one-stage procedure. The authors believe that free flap would be part of the armamentarium of modern plastic surgeons, frequently as a first choice.

Palabras clave : Free flaps; reconstructive surgery; microsurgery.

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