Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2025
Complications, Safety, and Efficacy of Large Flap Repairs of Greater Than 60 cm 2 at a Tertiary Care Center.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Amer Yomna, Prasad Smriti, Latour Emile, Leitenberger Justin, Bar Anna
Аннотация
BACKGROUND: With Mohs micrographic surgery being a common outpatient procedure, it is important to establish the safety of outpatient large flap surgery and investigate factors associated with complications such as infection, necrosis, and bleeding.
OBJECTIVE: This study aimed to assess the incidence of postoperative complications such as infection, bleeding, necrosis, dehiscence, and hospitalization after outpatient dermatologic reconstructions using large adjacent tissue transfer with flap areas of 60 cm 2 or greater performed under local anesthesia.
METHODS: Eligible patients were identified through review of the electronic medical records for 2 dermatologic surgeons at Oregon Health and Science University from 2008 to 2023. A database of patient characteristics, surgical characteristics, and complication rates was compiled. The associations between complication and flap size, flap technique, surgical site, antibiotic use, and antithrombotic use were calculated.
RESULTS: A total of 278 adjacent tissue transfer procedures met eligibility requirements for this study. Postoperative complication rates were as follows: infection (4.3%), bleeding or hematoma requiring treatment (2.2%), flap necrosis (2.9%), wound dehiscence (4.7%), and hospitalization (0.4%).
CONCLUSION: Complications after large flap reconstruction were infrequent and nonlife threatening. The authors' results suggest that large flap reconstruction >60 cm 2 can be performed safely in the outpatient setting.
OBJECTIVE: This study aimed to assess the incidence of postoperative complications such as infection, bleeding, necrosis, dehiscence, and hospitalization after outpatient dermatologic reconstructions using large adjacent tissue transfer with flap areas of 60 cm 2 or greater performed under local anesthesia.
METHODS: Eligible patients were identified through review of the electronic medical records for 2 dermatologic surgeons at Oregon Health and Science University from 2008 to 2023. A database of patient characteristics, surgical characteristics, and complication rates was compiled. The associations between complication and flap size, flap technique, surgical site, antibiotic use, and antithrombotic use were calculated.
RESULTS: A total of 278 adjacent tissue transfer procedures met eligibility requirements for this study. Postoperative complication rates were as follows: infection (4.3%), bleeding or hematoma requiring treatment (2.2%), flap necrosis (2.9%), wound dehiscence (4.7%), and hospitalization (0.4%).
CONCLUSION: Complications after large flap reconstruction were infrequent and nonlife threatening. The authors' results suggest that large flap reconstruction >60 cm 2 can be performed safely in the outpatient setting.