Induced Hypothermia: Implications for Free Flap Survival

Induced Hypothermia: Implications for Free Flap Survival.

comparing the robot-assisted technique with the laparoscopic approach for the RGE-LNF harvest, we noted that the robot-assisted intraperitoneal approach had specific advantages. The three-dimensional optics of the Da Vinci system allowed superior visualization of the anatomy. Accurate bloodless dissection was possible due to the extremely precise platform, tremor elimination, and significant mo...

Free flap survival despite early loss of the vascular pedicle.

BACKGROUND Early success of microvascular free tissue transfer is dependent upon the patency of the primary vascular pedicle. In time, neovascularization from the recipient bed and surrounding wound margins into the graft may be sufficient to maintain flap viability. The time necessary for successful neovascularization to occur is unclear. Most believe that prior radiation therapy will delay th...

Free-style free flap.

SUMMARY Advancements in microsurgical techniques as applied to perforator flaps have made harvesting flaps in a free-style manner a practical reality. A hand-held Doppler identifies sizable perforators on which flaps can be based. In free-style free flap harvesting, any region of the body can be chosen as a donor site as long as there is an audible pulsatile Doppler signal. The value of the fre...

Induced hypothermia for acute stroke.

Induced hypothermia is one of the most promising neuroprotective therapies. Technological limitations and homeostatic mechanisms that maintain core body temperature have impeded the clinical use of hypothermia. Recent advances in intravascular cooling catheters and successful trials of hypothermia for cardiac arrest and neonatal asphyxia renewed interest in hypothermia for stroke, resulting in ...

Induced Hypothermia for Acute S