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Year : 2004  |  Volume : 7  |  Issue : 2  |  Page : 73-75

Microvascular free flap reconstruction: The challenges in the developing country

1 Division of Plastic and Reconstructive Surgery,Department of Surgery, University of Ilorin Teaching Hospital, Ilorin,Kwara State, Nigeria
2 Division of Neurosurgery, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria

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Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, P.M.B. 1459, Kwara State
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Source of Support: None, Conflict of Interest: None

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After years of development, microvascular free tissue transfer has been firmly established as the primary method for reconstrutive surgery. The concept of using a reconstructive ladder to repair complex defects has been revolutionized and the tradition of using free flap surgery as the last resort has been challenged. In a developing country like ours , surgeons are still contending with the basic prol;΋lems of microvascular free tissue transplantation . An 18- year old student presented to our hospital with a diagnosis of osteomyelitis of the frontal bone. A radical debrid ement of osteomyelitic bone was done and the defect created was repaired with a microvascular free lattisimus dorsi musculocutaneous flap. The procedure lasted about 16 hours with a long duration of warm ischaemic time , but the flap survived. Institutional support Is highly necessary for making available appropriate microvascular instruments, operating microscope, pharmacologic agents, : allocation of operative time and post operative care, if we must make In the field of fflicrovascular surgery In the West African sub-region .

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