Intraoperative transfusion of packed red blood cells in microvascular free tissue transfer patients: assessment of 30-day morbidity using the NSQIP dataset.

Abstract:

:Although often a life-saving therapeutic maneuver, there is minimal data available that details the effects of intraoperative packed red blood cell transfusion (IOT) after microvascular free tissue transfer. The National Surgical Quality Improvement Program database was queried to identify all patients who underwent microvascular free tissue transfer between 2006 and 2010. Multivariate logistic regression models were used to determine the association between intraoperative transfusion and outcomes. Upon bivariate and multivariate analyses, IOT was significantly associated with higher rates of overall complications (odds ratio [OR], 2.02; 95% confidence interval [CI], 1.12-3.63), medical complications (OR, 3.35; 95% CI, 1.75-6.42), postoperative transfusion (OR, 6.02; 95% CI, 2.02-17.97), and reoperation (OR, 2.24; 95% CI, 1.24-4.04). IOT was not associated with either surgical complications or free flap loss. IOT significantly increases risk for adverse overall and medical complications. However, IOT was not associated with surgical complications or free flap loss. Transfusion practices in the operating room should be reevaluated to improve overall outcomes.

journal_name

J Reconstr Microsurg

authors

Kim BD,Ver Halen JP,Mlodinow AS,Kim JY

doi

10.1055/s-0033-1357275

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

103-14

issue

2

eissn

0743-684X

issn

1098-8947

journal_volume

30

pub_type

杂志文章,多中心研究
  • Enhancement of rat sciatic nerve regeneration by fibronectin and laminin through a silicone chamber.

    abstract::In this study, the authors examined the effects of fibronectin and laminin on sciatic nerve regeneration in rats. Sixty-eight Sprague-Dawley rats underwent bilateral sciatic nerve transections and silicone tubulizations, with a 10-mm gap between the proximal and distal nerve stumps. Thirty rats (n=30) received 10 micr...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2003-44635

    authors: Zhang J,Oswald TM,Lineaweaver WC,Chen Z,Zhang G,Chen Z,Zhang F

    更新日期:2003-10-01 00:00:00

  • FK506 and nerve regeneration: past, present, and future.

    abstract::Promoting neurological recovery requires strategies that simultaneously provide protection to injured neurons and increase the numbers of neurons that extend axons while inducing more rapid and extensive axon regeneration across long nerve gaps. An agent that facilitates the speed and success of reinnervation will hav...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1333314

    authors: Konofaos P,Terzis JK

    更新日期:2013-03-01 00:00:00

  • Chest wall reconstruction with a free extended forearm flap. A case report.

    abstract::Forequarter amputation combined with chest wall resection may present a difficult closure problem. In a recent case, the defect was satisfactorily closed with a free flap from the amputated extremity, employing the entire soft tissue of the forearm. ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006984

    authors: Schmidt RG,Springfield DS,Dell PC

    更新日期:1987-04-01 00:00:00

  • Reconstruction of a floating thumb with an excess big toe.

    abstract::In a three-year-11-month-old girl, an excess big toe was transferred microsurgically to replace a congenital floating thumb. The reconstructed thumb was evaluated nine years after the transfer. It showed almost normal growth, compared with the contralateral side, and the aesthetic result was excellent. However, the pa...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006565

    authors: Harashina T,Inoue T,Fujino T,Uchinishi K,Itoh Y

    更新日期:1994-01-01 00:00:00

  • Levator scapulae transfer and fascia lata fasciodesis for chronic spinal accessory nerve palsy.

    abstract::A retrospective evaluation of the functional results after reconstructive treatment with levator scapulae transfer and scapulo-spinal fasciodesis by fascia lata slings for complete chronic trapezius palsy is presented. Five patients (ages 6 to 40 years) were operated on between 1988 and 1991 because of incapacitating ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006544

    authors: Coessens BC,Wood MB

    更新日期:1995-07-01 00:00:00

  • Anatomical and technical tips for use of the superficial inferior epigastric artery (SIEA) flap in breast reconstructive surgery.

    abstract::Techniques for autologous breast reconstruction have evolved to minimize donor-site morbidity and reduce flap-specific complications. When available, the superficial inferior epigastric artery (SIEA) flap represents the optimal method to achieve the former. However, many microsurgeons have been reluctant to adopt this...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1249604

    authors: Dorafshar AH,Januszyk M,Song DH

    更新日期:2010-08-01 00:00:00

  • Digital neural loops: classification and implications of variation in hand surgery.

    abstract:BACKGROUND:The "neural loop" describes a digital artery passing through a digital nerve, after which both the structures progress distally to supply the digit. While rare, past descriptions refer to neural loops located around the common palmar digital arteries, with no reports of more distal loops. METHODS:We describ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0033-1348899

    authors: Niumsawatt V,Rozen WM

    更新日期:2014-01-01 00:00:00

  • Sensory recovery of innervated and non-innervated radial forearm free flaps: functional implications.

    abstract::Findings reported in the literature on the sensation provided by intraorally applied innervated vs. non-innervated radial forearm free flaps differ. In an effort to understand these differences in sensory recovery, the authors carried out sensory evaluations in 12 patients who had undergone radial forearm free flaps. ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2000-7549

    authors: Netscher D,Armenta AH,Meade RA,Alford EL

    更新日期:2000-04-01 00:00:00

  • Comparative study between acute intraoperative arterial elongation and the use of the interpositional vein graft for arterial reconstruction.

    abstract::This study compares the acute intraoperative arterial elongation technique with the interposition vein-graft method for the closure of small arterial gaps that cannot be repaired by undermining alone. Ten conditioned female mongrel dogs were divided into two groups: a vein graft interposition group and an acute expans...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006523

    authors: Ruiz-Razura A,Sozer SO,Layton EG,Hill LH,Cohen BE

    更新日期:1995-03-01 00:00:00

  • Two-stage arterialized flow-through venous flap transfer for third-degree burn defects on the dorsum of the hand.

    abstract::A modified, two-stage arteriovenous flow-through venous flap was designed to repair skin defects due to third-degree burns on the dorsum of the hand in four patients. Two weeks after plasty of an arteriovenous (A-V) shunt between the greater saphenous vein and dorsalis pedis artery, the arterialized flow-through venou...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006429

    authors: Ueda Y,Mizumoto S,Hirai T,Doi Y,Fukui A,Tamai S

    更新日期:1997-10-01 00:00:00

  • Extra and Intramuscular Distribution of the Thoracodorsal Nerve with Regard to Nerve Reconstruction Surgeries.

    abstract::Background The lateral branch of the thoracodorsal nerve (LBTN) is used for nerve transfer in facial, musculocutaneous, axillary nerve injuries and for irreparable C5, C6 spinal nerve lesions and accessory nerve defects. For a successful surgical outcome, the nerve to be used in nerve transfer should be of adequate le...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0036-1579541

    authors: Malalasekera A,Beneragama T,Kanesu S,Sahathevan V,Jayasekara R

    更新日期:2016-06-01 00:00:00

  • Effect of time on the viability of ischemic skin flaps treated with vascular endothelial growth factor (VEGF) cDNA.

    abstract::This study examined the efficacy of gene therapy on wound healing. The authors investigated whether delivery of the gene encoding a particular cytokine, known to be important in angiogenesis, could affect ischemic skin flaps. Anterior abdominal skin flaps, based solely on the epigastric artery and vein, were created i...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000196

    authors: Taub PJ,Marmur JD,Zhang WX,Senderoff D,Urken ML,Silver L,Weinberg H

    更新日期:1998-08-01 00:00:00

  • Clinical Efficacy and Safety of Negative-Pressure Wound Therapy on Flaps: A Systematic Review.

    abstract::Background Although flap transfer is a popular reconstructive procedure with a high success rate, it is associated with a high complication rate and low salvage rate. During the past decade, negative-pressure wound therapy (NPWT) has been increasingly applied to facilitate flap transfer and salvage flaps threatened by...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1599076

    authors: Yu P,Yu N,Yang X,Jin X,Lu H,Qi Z

    更新日期:2017-06-01 00:00:00

  • A review of therapeutic nerve decompression for neuropathy in Hansen's disease with research suggestions.

    abstract::Nerve decompression surgery for leprosy neuritis has a long history and large literature. New understanding of the high frequency of spontaneous recovery from nerve function impairment requires re-evaluation of the value of decompression in acute nerve dysfunction with strong evidence-based protocols. Several reports ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1248237

    authors: Nickerson DS,Nickerson DE

    更新日期:2010-05-01 00:00:00

  • Decellularized Nerves for Upper Limb Nerve Reconstruction: A Systematic Review of Functional Outcomes.

    abstract:BACKGROUND:This is a systematic review for evaluating the evidence for functional outcomes after decellularized nerve use in clinical setting. Decellularized nerves are allografts whose antigenic components have been removed, leaving only a scaffold that promotes the full regeneration of axons. METHODS:Literature rese...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1558463

    authors: Deslivia MF,Lee HJ,Adikrishna A,Jeon IH

    更新日期:2015-11-01 00:00:00

  • The emerging role of the direct cutaneous muscle perforator found arising from the muscle vessel hilum.

    abstract::Perforator flaps based on either musculocutaneous or septocutaneous perforators are no longer a curiosity, but rather in the past decade have become "workhorse" soft tissue alternatives. Yet a keener understanding of their anatomy abetted by sophisticated imaging techniques has revealed other deep fascia perforators w...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1315777

    authors: Hallock GG

    更新日期:2012-10-01 00:00:00

  • Microsurgical facial reconstruction of a xeroderma pigmentosum patient after skin tumor resection: case report.

    abstract::Microsurgical reconstruction of the face completely destroyed after malignant skin tumor excisions in a xeroderma pigmentosum patient is reported. The patient's left cheek was reconstructed using a free latissimus dorsi flap and the nose using a free forearm flap with a base of iliac bone graft. There has been no recu...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006812

    authors: Akizuki T,Harii K

    更新日期:1990-04-01 00:00:00

  • Open achilles tendon defects: a 12-year study on the injury mechanisms, reconstructions, and late complications.

    abstract:BACKGROUND:Open injuries of the Achilles tendon, which can be complicated by skin and bone injuries, continue to be a great challenge for surgeons. This study aims to report our experience with treatment of open Achilles tendon defects, focusing on the injury mechanisms, soft tissue coverage and late complications. ME...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0033-1358787

    authors: Zhu YL,Xu YQ,Mei LB,Wang Y,Li FB,Sun LH

    更新日期:2014-10-01 00:00:00

  • Reconstruction of large traumatic segmental defects of the femur using segmental allograft with vascularized fibula inlay.

    abstract::Segmental defects of the distal femur following trauma pose a reconstructive challenge. A stable reconstruction capable of withstanding high forces while allowing early mobility is paramount. The Capanna technique of reconstruction combining allograft with vascularized bone graft provides such a construct and has been...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1281520

    authors: Ridha H,Bernard J,Gateley D,Vesely MJ

    更新日期:2011-07-01 00:00:00

  • Vascularized orthotopic osteochondral transplantation of the canine proximal femur.

    abstract::Osteochondral vascularized proximal femoral allografts were orthotopically transplanted in five adult beagles (four experimental and one control). The experimental animals were placed on 0.1 mg/kg of FK506 intravenously for 7 days, and then converted to 1.0 mg/kg orally. Biopsies of the femoral heads were taken at 3 w...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2001-12701

    authors: Sotereanos NG,Varitimidis SE,Sewecke JJ,Sotereanos DG,Demeo PJ,Berger RA

    更新日期:2001-02-01 00:00:00

  • Reconstruction of large orbital exenteration defects after resection of periorbital tumors of advanced stage.

    abstract::Orbital exenteration is a devastating procedure because of the social impact and psychological stress put upon the patient. Besides cancer ablative surgery, reconstruction after removal of the tumor constitutes a major problem and the final aesthetic result is quite important. Both obliteration of the orbital cavity a...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2006-956232

    authors: Taylan G,Yildirim S,Aköz T

    更新日期:2006-11-01 00:00:00

  • Designing the anterolateral thigh flap without preoperative Doppler or imaging.

    abstract::The anterolateral thigh (ALT) flap is now considered a workhorse for head and neck reconstruction in many centers. However, designing and raising the ALT flap has been traditionally recognized as being difficult, tedious, and technically demanding due to its variation in perforator anatomy. Designing the ALT flap on d...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0029-1234023

    authors: Lin SJ,Rabie A,Yu P

    更新日期:2010-01-01 00:00:00

  • Functional limb salvage combining gastrocnemius neurotization and posterior tibial nerve grafting: a case report.

    abstract::Functional limb salvage requires motor and sensory reconstruction of the extremity. An avulsion of the tibial nerve in the popliteal fossa after arthroscopy is presented. Functional limb recovery necessitated intraoperative nerve mapping by awake stimulation, neurotization of the gastrocnemius muscle bellies, and inte...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006702

    authors: Francel TJ,Dellon AL

    更新日期:1992-05-01 00:00:00

  • Endoneural and epineural blood flow evaluation with free vascularized and conventional nerve grafts in the canine.

    abstract::Blood flow distribution in conventional and vascularized canine nerve grafts was analyzed. Between 4 and 6 days after operation, blood flow at both the fascicular (endoneural) and the nerve-sheath (epineural) levels was significantly greater in the nonvascularized nerve grafts than in their vascularized counterparts (...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1007044

    authors: Daly PJ,Wood MB

    更新日期:1985-10-01 00:00:00

  • Microsurgical repair of Stensen's duct using an interposition vein graft.

    abstract::Facial wounds are frequently associated with bone fractures and multiple trauma; however, disruption of the parotid gland or Stensen's duct is rare and is often associated with facial nerve palsy. Lesions are often undiagnosed on first assessment of the multiple trauma patient. If microsurgical repair of Stensen's duc...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000078

    authors: Heymans O,Nélissen X,Médot M,Fissette J

    更新日期:1999-02-01 00:00:00

  • Distal Nerve Transfer: Perspective of Reconstructive Microsurgery.

    abstract::Recent articles have strongly emphasized the superiority of distal nerve transfers despite indefinite assessment. I would like to introduce the problems associated with functional evaluation following nerve transfers. ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1639369

    authors: Doi K

    更新日期:2018-11-01 00:00:00

  • Acellular human dermal matrix as a small vessel substitute.

    abstract::In both vascular and microvascular surgery, there is a need for a non-thrombogenic, small-caliber, arterial substitute. Clinically, most vessel substitutes with diameters under 4 mm have low patency rates. An arterial conduit made from a biocompatible human acellular dermis may be useful as a small vessel conduit. The...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006491

    authors: Inoue Y,Anthony JP,Lleon P,Young DM

    更新日期:1996-07-01 00:00:00

  • Content Validity of the LIMB-Q: A Patient-Reported Outcome Instrument for Lower Extremity Trauma Patients.

    abstract:BACKGROUND: Limb-threatening lower extremity traumatic injuries can be devastating events with a multifaceted impact on patients. Therefore, evaluating patient-reported outcomes (PROs) in addition to traditional surgical outcomes is important. However, currently available instruments are limited as they were not develo...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1713669

    authors: Mundy LR,Klassen A,Sergesketter AR,Grier AJ,Carty MJ,Hollenbeck ST,Pusic AL,Gage MJ

    更新日期:2020-11-01 00:00:00

  • Closure of big toe defects after wrap-around flap transfer using the arterialized venous flap.

    abstract::Sixteen arterialized venous flaps, free flaps that have arterial blood only flowing through the vein of the flap, were applied to reconstruct skin defects of the big toe resulting from wrap-around flap transfers. There were seven complete successes, six partial successes, and three complete failures. The clinical cour...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006756

    authors: Inoue G,Maeda N,Suzuki K

    更新日期:1991-01-01 00:00:00

  • A comparison of human recombinant tissue-type plasminogen activator and urokinase in microsurgical thrombolysis in the rat.

    abstract::A comparison was made between several characteristics of tissue-type plasminogen activator (t-PA) and urokinase (UK), potentially useful in microsurgery to restore perfusion to ischemic free-tissue transfers. An intraarterial infusion of one of the drugs (or normal saline [NS] as a control) was performed in conjunctio...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006781

    authors: Levy EA,Sadove AM,Eppley BL,Evan AP

    更新日期:1991-07-01 00:00:00