Free tissue transfer in patients with renal disease.


:Several authors have cited renal disease as a risk factor for free flap failure. The authors performed a retrospective analysis of all patients who underwent free tissue transfer with concomitant renal disease, including acute renal failure, end-stage renal disease, chronic renal insufficiency, and functional kidney transplants, to determine what effect renal disease has on flap survival and overall reconstructive outcome. More than 1053 free flaps were examined. Renal disease was identified in 32 patients who underwent 33 free tissue transfers. Average patient age was 57 years (range, 36 to 80 years). Twelve patients (38 percent) were on chronic dialysis (end-stage renal disease), 18 patients (56 percent) had chronic renal insufficiency, and three patients (9 percent) had the diagnosis of acute renal failure at the time of surgery. Three patients in the chronic renal insufficiency group had a functioning renal transplant. Average follow-up was 16 months. Immediate postoperative complications occurred in 14 patients (42 percent of the 33 flaps). Overall perioperative mortality was 3 percent. Within the first 30 days there were two cases (6 percent) of primary flap failure; an additional four legs were lost as the result of complications related to their bypass grafts. There were no primary flap failures after 30 days; however, within the first year after surgery an additional seven limbs were lost as the result of progressive ischemia or infection, and an additional three patients died. This resulted in a 52 percent incidence of major morbidity or mortality during the first year and a 55 percent reconstructive success rate in survivors at 1 year. No significant difference was seen in postoperative morbidity or mortality when comparing the end-stage renal disease group to the chronic renal insufficiency group; however, patients with renal disease and diabetes tended to have poorer outcomes. Renal disease, especially renal disease associated with diabetes and peripheral vascular disease, can be a strong indicator of possible reconstructive failure. The surgeon and patient should be aware of the medical and surgical complications associated with this procedure at the outset.


Plast Reconstr Surg


Moran SL,Salgado CJ,Serletti JM




Has Abstract


2004-06-01 00:00:00












  • The breast reconstruction evaluation of acellular dermal matrix as a sling trial (BREASTrial): design and methods of a prospective randomized trial.

    abstract:BACKGROUND:Recent literature has focused on the advantages and disadvantages of using acellular dermal matrix in breast reconstruction. Many of the reported data are from low level-of-evidence studies, leaving many questions incompletely answered. The present randomized trial provides high-level data on the incidence a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验


    authors: Agarwal JP,Mendenhall SD,Anderson LA,Ying J,Boucher KM,Liu T,Neumayer LA

    更新日期:2015-01-01 00:00:00

  • Combined anterolateral thigh flap and vascularized fibula osteoseptocutaneous flap in reconstruction of extensive composite mandibular defects.

    abstract::Extensive composite defects of the oromandibular area are usually created after the surgical treatment of T3 and T4 cancers, requiring complex reconstructive plastic surgical procedures. The preferred treatment method for this type of defect is reconstruction with two free flaps. The use of the vascularized fibula ost...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Wei FC,Celik N,Chen HC,Cheng MH,Huang WC

    更新日期:2002-01-01 00:00:00

  • DIEP and pedicled TRAM flaps: a comparison of outcomes.

    abstract:BACKGROUND:Studies comparing similar and sizable numbers of deep inferior epigastric perforator (DIEP) and pedicled transverse rectus abdominis musculocutaneous (TRAM) flap reconstructions are lacking. The authors hoped to determine whether the DIEP flap has advantages over the pedicled TRAM flap for breast reconstruct...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Garvey PB,Buchel EW,Pockaj BA,Casey WJ 3rd,Gray RJ,Hernández JL,Samson TD

    更新日期:2006-05-01 00:00:00

  • Single-stage breast reconstruction with the anterior approach latissimus dorsi flap and permanent implants.

    abstract:BACKGROUND:Traditional latissimus dorsi myocutaneous flap breast reconstruction results in a large wound on the back, difficult inset of flap, and skin color disparity. An anterior approach to harvesting the latissimus dorsi muscle flap reduces morbidity, and with skin-sparing mastectomy, immediate single-stage reconst...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bittar SM,Sisto J,Gill K

    更新日期:2012-05-01 00:00:00

  • Skin flap necrosis in guinea pigs: limitation of glucose supply and accumulation of lactate.

    abstract::The distribution of glucose and lactate within skin flaps was determined in full-thickness guinea pig skin (excluding the panniculus carnosus). The distal end of the flaps had a low glucose content (less than 50 percent of normal) but high lactate level (2 to 3 times normal) during the 3 days after flap elevation. Pro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hoopes JE,Im MJ

    更新日期:1978-05-01 00:00:00

  • Evaluation of the hormonal function and histological features of heterotopic isogenic ovarian transplantation in rats.

    abstract::The purpose of the study was to determine the feasibility of preserving ovarian function after heterotopic transplantation by means of microvascular anastomosis of the transplanted vascular pedicles to a set of preselected vessels. Six groups of 10 Sprague-Dawley inbred rats were used in this study. Group I underwent ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chiu DT,Hu G

    更新日期:2003-04-15 00:00:00

  • Histologic structure of human costochondral junction.

    abstract::Costochondral grafts are commonly used to restore dysplastic mandibular condyles. Despite their worldwide use, the growth of the condyle-ramus unit constructed with a costochondral graft is highly unpredictable, excess growth being the most common consequential problem. In a recent series of experiments on rats, it be...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Peltomäki T

    更新日期:1994-10-01 00:00:00

  • Urinary excretion of oxidative damage markers in a rat model of vascularized composite allotransplantation.

    abstract:BACKGROUND:Vascularized composite allotransplantation is an emerging field of transplantation that provides a potential treatment for complex tissue defects after traumatic loss or tumor resection and for the repair of congenital abnormalities. However, vascularized composite allotransplantation recipients have suffere...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hu CH,Lin CH,Chang NJ,Hu CW,Lin CH

    更新日期:2013-10-01 00:00:00

  • A comparison of obsidian and surgical steel scalpel wound healing in rats.

    abstract::There are several anecdotal clinical articles claiming wound healing and scar superiority using obsidian (volcanic glass) scalpels. In order to determine if skin incisions made with obsidian were superior to those made with standard surgical steel, wound tensile strength, scar width, and histology were assessed in 40 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Disa JJ,Vossoughi J,Goldberg NH

    更新日期:1993-10-01 00:00:00

  • Unilateral fusion of the frontosphenoidal suture: a rare cause of synostotic frontal plagiocephaly.

    abstract::Unilateral coronal synostosis is the common appellation for premature, one-sided fusion of the frontoparietal suture-the most common cause of synostotic frontal plagiocephaly. However, frontal asymmetry can also result from isolated fusion across the anterior cranial base without involvement of the frontoparietal sutu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rogers GF,Proctor MR,Mulliken JB

    更新日期:2002-09-15 00:00:00

  • Academic Productivity, Knowledge, and Education in Plastic Surgery: The Benefit of the Clinical Research Fellow.

    abstract:BACKGROUND:Academic research productivity is limited by strenuous resident and faculty schedules but nevertheless is imperative to the growth and success of our discipline. The authors report institutional experience with their clinical research fellowship model, providing two positions per year. METHODS:A critical an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Carney MJ,Weissler JM,Koltz PF,Fischer JP,Wu LC,Serletti JM

    更新日期:2017-10-01 00:00:00

  • An individualized approach to severe elbow burn contractures.

    abstract:UNLABELLED:Contracture of the antecubital fossa is a common occurrence following thermal burn injury to the upper extremity. Scarring of the superficial tissues can be treated with a variety of surgical methods to provide release and coverage. However, complex scarring of the elbow, which involves the deeper structures...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kung TA,Jebson PJL,Cederna PS

    更新日期:2012-04-01 00:00:00

  • Comparison between rapid and slow tissue expansion in breast reconstruction.

    abstract::Fifty women scheduled for breast reconstruction surgery with tissue expansion were randomly divided into two groups. In the first group the tissue was expanded rapidly, i.e., once a day, starting 1 week postoperatively, and in the other group it was expanded slowly, i.e., once a week, starting after 2 weeks. The expan...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Wickman M

    更新日期:1993-04-01 00:00:00

  • Does double gloving protect surgical staff from skin contamination during plastic surgery?

    abstract::In a randomized study, the effectiveness of double gloving in maintaining an intact barrier between the patient and the hands of the surgical staff during plastic surgery operations was tested. For 2 months, the surgical staff of a plastic surgery unit randomly wore single or double gloves during all elective surgical...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Marín-Bertolín S,González-Martínez R,Giménez CN,Marquina Vila P,Amorrortu-Velayos J

    更新日期:1997-04-01 00:00:00

  • Abdominal Etching: Surgical Technique and Outcomes.

    abstract:BACKGROUND:The ideal body is characterized by a muscular physique and defined anterior abdominal wall. Despite diet and exercise, many are unable to achieve this desired result. Liposuction with abdominal etching is used to achieve high-definition abdominal aesthetics. The etching technique is performed with liposuctio...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Husain TM,Salgado CJ,Mundra LS,Perez C,AlQattan HT,Bustillo E,Perez R,Garri JI

    更新日期:2019-04-01 00:00:00

  • Paranasal implants for correction of midface concavity.

    abstract::Central midface concavity was corrected with the placement of porous polyethylene implants in the paranasal area. This simulated the effect of skeletal osteotomies and advancement without altering dental occlusion. Implants were placed to correct congenital, posttraumatic, and cleft-related skeletal midface retrusion ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Yaremchuk MJ,Israeli D

    更新日期:1998-10-01 00:00:00

  • Island fasciocutaneous flap based on the proximal perforators of the radial artery for resurfacing of burned cubital fossa.

    abstract::In the vast majority of burned patients, the injury is limited to the skin and superficial subcutaneous tissue, and the vasculature of the deeper fascia is spared. This fact encouraged me to design a flap in which the burned scar tissue is employed. The island fasciocutaneous flap is based only on the proximal septocu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: el-Khatib HA

    更新日期:1997-09-01 00:00:00

  • Diagnostic pediatric computed tomographic scans of the head: actual dosage versus estimated risk.

    abstract:BACKGROUND:Recent publications have implicated computed tomographic scans in the genesis of cancer and developmental delay. To determine whether the imaging protocols used in the authors' craniofacial practice could be harmful, they reviewed patient radiation exposure data for 77 patients. They then reviewed the litera...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Jaffurs D,Denny A

    更新日期:2009-10-01 00:00:00

  • The graft-to-capacity ratio: volumetric planning in large-volume fat transplantation.

    abstract:BACKGROUND:Variability in large-volume fat transplantation has been linked to technique. Meanwhile, the recipient-site volume and its relation to the volume of grafted fat have been relatively overlooked. Graft-to-capacity concepts are evidenced in other soft-tissue transplantation procedures such as skin and hair tran...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Del Vecchio DA,Del Vecchio SJ

    更新日期:2014-03-01 00:00:00

  • Early passive mobilization after digital nerve repair and grafting in a fresh cadaver.

    abstract::In the clinical management of combined tendon and nerve injuries, there are competing treatment strategies. Isolated tendon injuries should be rapidly mobilized after repair to prevent adhesion formation, whereas isolated nerve repairs are usually immobilized to prevent disruption and to allow axon regrowth. Recommend...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chao RP,Braün SA,Ta KT,Palesty JA,Mine R,Syed SA,Chang DJ,Thomson JG

    更新日期:2001-08-01 00:00:00

  • A modified keyhole technique for correction of macroglossia.

    abstract::The enlarged tongue, or macroglossia, may compromise vital function to the point that surgical correction is necessary. Although earlier procedures simply aimed at reducing tongue bulk, contemporary techniques attempt to decrease lingual dimension yet preserve critical neurosensory function. Still, modern approaches a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Kaufman Y,Cole P,McKnight A,Hatef DA,Hollier L,Edmonds J

    更新日期:2008-12-01 00:00:00

  • Operative management and outcome of complex wounds following total knee arthroplasty.

    abstract::This study describes the treatment protocol for and the outcome of the management of complex wounds around total knee replacements. An analysis of 28 patients (29 knees) with complex defects who had surgery between January 1, 1986, and July 30, 1996, was performed. A specific management protocol was applied to each kn...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Nahabedian MY,Mont MA,Orlando JC,Delanois RE,Hungerford DS

    更新日期:1999-11-01 00:00:00

  • Acetyl-L-Carnitine to Enhance Nerve Regeneration in Carpal Tunnel Syndrome: A Double-Blind, Randomized, Controlled Trial.

    abstract:BACKGROUND:Carpal tunnel syndrome is very common. Although surgery is effective in mild and moderate cases, recovery is often incomplete in severe cases. Therefore, adjuvant therapy to improve nerve regeneration in those patients is much needed. Acetyl-L-carnitine has been shown to be effective in other neuropathies. T...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验


    authors: Curran MWT,Morhart MJ,Olson JL,Hachisuka A,Chan KM

    更新日期:2019-01-01 00:00:00

  • A study of the supraorbital nerve.

    abstract::A detailed description of the anatomical relationships of the supraorbital nerve as it courses across the forehead and under the scalp cannot be found in most anatomy textbooks, and illustrations of the nerve beyond the superior orbital rim frequently misrepresent its course. Because the supraorbital nerve is a struct...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Knize DM

    更新日期:1995-09-01 00:00:00

  • Postoperative Ketorolac in Breast and Body Contouring Procedures: A Nationwide Claims Analysis.

    abstract:BACKGROUND:Nonsteroidal antiinflammatory drugs are useful alternatives to narcotics for analgesia. However, concerns remain regarding their safety. The authors evaluated ketorolac use and complications. We hypothesized that no association between ketorolac and morbidity exists in patients undergoing body contouring. M...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kelley BP,Chung KC,Chung TT,Bennett KG,Sacks G,Sears ED,Waljee JF

    更新日期:2018-10-01 00:00:00

  • Cytomegalovirus and other infectious issues related to face transplantation: specific considerations, lessons learned, and future recommendations.

    abstract:BACKGROUND:Composite tissue allotransplantation is fraught with complexities similar to those of solid organ transplantation, including donor-related cytomegalovirus transmission. With this in mind, the authors' objective was to (1) report their team's experience with infections and donor-related cytomegalovirus transm...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gordon CR,Avery RK,Abouhassan W,Siemionow M

    更新日期:2011-04-01 00:00:00

  • A novel cleft rhinoplasty procedure combining an open rhinoplasty with the Dibbell and Tajima techniques: a 10-year review.

    abstract:BACKGROUND:The authors assessed the safety and efficacy of a novel cleft rhinoplasty procedure that combines an open rhinoplasty with the Dibbell and Tajima techniques. METHODS:A single-surgeon, 10-year, retrospective review was conducted of all unilateral cleft lip rhinoplasties (n = 157). Nonsyndromic patients under...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Flores RL,Sailon AM,Cutting CB

    更新日期:2009-12-01 00:00:00

  • Intralesional Bleomycin Injections for Vascular Malformations: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:Vascular malformations are congenital anomalies of the vascular system. Intralesional bleomycin injections are commonly used to treat vascular malformations. However, pulmonary fibrosis could potentially be a severe complication, known from systemic bleomycin therapy for malignancies. In this study, the auth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,meta分析,评审


    authors: Horbach SER,Rigter IM,Smitt JHS,Reekers JA,Spuls PI,van der Horst CMAM

    更新日期:2016-01-01 00:00:00

  • Repair of oronasal fistulae by interposition of multilayered amniotic membrane allograft.

    abstract:BACKGROUND:Oronasal fistulas are a frequent complication after cleft palate surgery. Numerous repair methods have been described, but wound-healing problems occur often. The authors investigated, for the first time, the suitability of multilayered amniotic membrane allograft for fistula repair in a laboratory experimen...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rohleder NH,Loeffelbein DJ,Feistl W,Eddicks M,Wolff KD,Gulati A,Steinstraesser L,Kesting MR

    更新日期:2013-07-01 00:00:00

  • Microvascular polytetrafluoroethylene prostheses: the cellular events of healing and prostacyclin production.

    abstract::This study was undertaken to obtain more insight into the morphologic and functional performance of microvascular polytetrafluoroethylene (PTFE) prostheses. Therefore, both the cellular events of healing (n = 30) and the prostacyclin production (n = 18) of microvascular polytetrafluoroethylene prostheses (length 10 mm...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: van der Lei B,Wildevuur CR

    更新日期:1988-05-01 00:00:00