| CASE REPORT |
|
| Year : 2004 | Volume
: 7
| Issue : 2 | Page : 73-75 |
|
|
Microvascular free flap reconstruction: The challenges in the developing country
IA ADIGUN1, TO ODEBODE2
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
Correspondence Address:
I A ADIGUN
Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, P.M.B. 1459, Kwara State
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
|
|
|
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 . |
|
|
|
| [PDF]* |
|
 |
|
