• Medicina · Aug 2021

    Case Reports

    The Role of Free Tissue Transfers for Defect Coverage over the Body in Geriatric Populations.

    • Elif Kulakli-Inceleme, Matthias Knobe, Elmar Fritsche, and Mario F Scaglioni.
    • Department of Hand and Plastic Surgery, Luzerner Kantonsspital, 6004 Lucerne, Switzerland.
    • Medicina (Kaunas). 2021 Aug 1; 57 (8).

    AbstractThe treatment of soft tissue defects in multimorbid frail patients requires optimized preoperative and perioperative management with a differentiated interdisciplinary approach. Preoperative assessment with established scores, such as the ASA score, is important in order to stratify the operative complication risk. Following the reconstructive ladder is important to avoid unnecessary long operations and consecutively higher operative risks. In cases where a free flap procedure is needed, infections should be treated properly, and vascular status and coagulation should be optimized before performing a free flap procedure. Attention should be paid to maintain independency, functionality and quality of life while choosing the best treatment option.

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