Impact of increasing operative time on the incidence of early failure and complications following free tissue transfer? A risk factor analysis of 2,008 patients from the ACS-NSQIP database

Microsurgery
Anaeze C OffodileLifei Guo

Abstract

There is a scarcity of externally valid data that investigate the utility of operative time, a common clinical parameter, as a predictor of free flap failures. Our aim was to assess whether prolonged operative time correlates with early flap failure following free tissue transfer in the acute care setting using the American College of Surgeons National Surgical Quality Improvement Program database. The 2005-2011 American College of Surgeons National Surgical Quality Improvement Program databases were reviewed for encounters that entailed a free tissue transfer via a CPT algorithm. Patients identified as having a flap loss were compared with people who did not with regards to operative time and patient comorbidities. Patients were subdivided into the following cohort groups with regards to operative time: <6 hours, 6-12 hours, and >12 hours. Secondary outcome was association between increasing operative time and postoperative complications. Of the 2,008 patients identified, 62 (3.1%) had early flap failure. After multivariable analysis, it was found that progressive operative time was associated with an increased risk of flap failure; 6-12 hours odds ratio was 4.64 and >12 hours odds ratio was 5.65 (P = 0.0140). Higher American ...Continue Reading

References

Aug 1, 1973·Archives of Surgery·P J Cruse, R Foord
Jun 1, 1994·Archives of Otolaryngology--head & Neck Surgery·M L UrkenH F Biller
Sep 1, 1996·Plastic and Reconstructive Surgery·S S KrollB J Baldwin
Apr 1, 1997·Plastic and Reconstructive Surgery·S S KrollM A Schusterman
Sep 4, 1998·Plastic and Reconstructive Surgery·R K KhouriC Wallemark
Feb 9, 1999·Plastic and Reconstructive Surgery·B SinghJ P Shah
Jul 7, 2000·Plastic and Reconstructive Surgery·J M SerlettiG S Orlando
May 4, 2001·Plastic and Reconstructive Surgery·S J FinicalC H Johnson
Jul 18, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B H HaugheyG Spector
Sep 30, 2003·Journal of Reconstructive Microsurgery·Takashi NakatsukaShigeru Ichioka
Oct 24, 2008·Microsurgery·Natalia Hagau, Dan Longrois
Mar 7, 2009·International Journal of Oral and Maxillofacial Surgery·A J W P RosenbergR J J van Es
Feb 8, 2011·Surgical Endoscopy·Timothy D JacksonMatthew M Hutter
May 28, 2011·Plastic and Reconstructive Surgery·Shareef JandaliJoseph M Serletti
Sep 12, 2012·Annals of Plastic Surgery·J Bradford HillR Bruce Shack
Oct 20, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Clair VandersteenAlexandre Bozec
Jul 10, 2013·Microsurgery·Alexei S MlodinowJohn Y S Kim
Jul 31, 2013·Journal of the American College of Surgeons·John P FischerSuhail Kanchwala
Mar 26, 2014·Microsurgery·Hossein MasoomiGarrett A Wirth
Jul 6, 2014·JAMA Facial Plastic Surgery·Steven B CannadyMark K Wax

❮ Previous
Next ❯

Citations

Sep 9, 2018·The Laryngoscope·Kevin J KovatchChaz L Stucken
Dec 11, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Pedrom C SioshansiEdward J Damrose
Jan 10, 2020·Plastic and Reconstructive Surgery·Nicholas T Haddock, Sumeet S Teotia
Oct 7, 2017·JAMA Facial Plastic Surgery·Jacob S BradyRichard Chan Woo Park
Mar 30, 2020·Plastic and Reconstructive Surgery·Nicholas T Haddock, Sumeet S Teotia
Aug 19, 2017·Plastic and Reconstructive Surgery·Vishal Thanik, Katie Weichman
May 4, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Henry MillerSteven Bonawitz
Sep 25, 2021·Annals of Plastic Surgery·Maleeha MughalWilliam Townley
Sep 29, 2021·Journal of Reconstructive Microsurgery·Joseph LewcunTimothy S Johnson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.