Complications in Microsurgery / Vascularized Lymp Node Transfer Sunday January

Refinements in microsurgical technique have improved free flap survival to nearly 90% in most settings. Thrombosis remains the most frequent cause of reoperation, and salvage rates following venous and arterial compromise fall to 71% and 40%, respectively. There is currently no consensus in the literature regarding perioperative management and/or flap salvageability in thrombophiliacs who undergo microsurgical reconstruction. We present our experience with free tissue transfer (FTT) and flap salvage in this high-risk population.