Free tissue transfer in patients with renal disease

Plastic and Reconstructive Surgery
S MoranJ M Serletti

Abstract

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 comp...Continue Reading

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Citations

Jan 9, 2010·Plastic and Reconstructive Surgery·Christopher J SalgadoSamir Mardini
Nov 23, 2010·Plastic and Reconstructive Surgery·Sou-Hsin ChienJen-Pi Tsai
Jun 29, 2013·Plastic and Reconstructive Surgery·Kendall R Roehl, Raman C Mahabir
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Jul 23, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Chieh-Chi HuangSou-Hsin Chien
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Jun 5, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yu Jin JangIl Jae Lee
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May 1, 2021·Journal of Maxillofacial and Oral Surgery·G LakshminarayanaC S Mani

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