Free Flaps in Lower Extremity Reconstruction.
Review published in Clinics in plastic surgery (2021)
Abstract
Free tissue transfer to the lower extremity for limb salvage remains challenging. A comprehensive approach includes patient selection, flap selection, selection of the recipient vessels, flap dissection, flap preparation, microvascular anastomosis, flap inset, immediate postoperative care, intermediate postoperative care, and further follow-up care. Each step in this comprehensive approach has its unique considerations and should be executed equally to ensure an optimal outcome. Once acquired, some clinical experience along with adequate microsurgical skill, good surgical judgment, well instructed and step-by-step intraoperative execution, and a protocol-driven practice, successful free tissue transfer to the lower extremity can be accomplished.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
Free tissue transfer to the lower extremity for limb salvage remains challenging. A comprehensive approach includes patient selection, flap selection, selection of the recipient vessels, flap dissection, flap preparation, microvascular anastomosis, flap inset, immediate postoperative care,...
Por qué esto importa para la hirudoterapia
Esta revisión cubre el abordaje integral de la transferencia libre de tejido para el salvamento de extremidades inferiores, incluyendo la selección del paciente, la selección del colgajo, la elección del vaso receptor, la anastomosis microvascular y los protocolos de cuidados postoperatorios. El artículo aborda exclusivamente la técnica quirúrgica y el manejo perioperatorio, sin mencionar sanguijuelas, hirudoterapia ni compuestos derivados de sanguijuelas. Ningún contenido del resumen respalda una relevancia directa o específica para la hirudoterapia o el secretoma de la sanguijuela. El estudio no presenta una conexión demostrada con el ámbito de la ASH.
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Añadido a la biblioteca ASH: May 28, 2026 · Última actualización del sitio: June 18, 2026