Early Post Operative Challenges Microvascular Free Flap Surgery | Dr Radhika K | COMPLICON 2024 скачать в хорошем качестве

Early Post Operative Challenges Microvascular Free Flap Surgery | Dr Radhika K | COMPLICON 2024

Sri Shankara Cancer Hospital & Research Centre, Bengaluru hosted The International Head & Neck Oncology Conference (COMPLICON) in August 2024. Various guests from all over India and the world were invited to share their expertise and experience on different head and neck cancers. Speaker: Dr. Radhika K Topic: Early Postoperative Challenges in Microvascular Free Flap Surgery In this video, Dr. Radhika K talks about: a. Early postoperative complications These can be non-microvascular, like acute neck bleeds and hematomas causing pedicle compression, or microvascular, presenting as venous or arterial insufficiency. Prompt recognition of these issues is crucial for timely intervention. b. Prevention strategies in free flap surgery Meticulous preoperative planning, including thorough patient assessment and flap selection, is key. Intraoperative measures like careful pedicle positioning, vessel quality assessment, and proper drain placement are also vital. c. Postoperative monitoring and early detection of free flap complications Close monitoring in the ICU for the initial days, utilizing prick tests and Doppler assessments, is essential for early detection. Vigilance for changes in flap color, turgor, and bleeding patterns is critical, especially in the first five days due to neck movements. e. Salvage management of failing free flaps For non-microvascular issues like bleeding, prompt re-exploration to identify and control the source is necessary. Microvascular complications may require local or full re-exploration, thrombectomy, and revision of the anastomosis, with heparinization considered in some cases. f. The importance of timing and backup plans in free flap salvage Early re-exploration (within 5 hours for microvascular issues) significantly improves flap salvage rates. Having a well-defined backup plan, such as the galic flip for venous congestion or alternative vessel options, is crucial when the primary flap fails. About the Event: This talk was part of the International Head & Neck Oncology Conference held on 23–24 August 2024 at Sri Shankara Cancer Hospital & Research Centre, a leading institute for cancer care and research in India. To stay updated on the latest cancer surgery techniques, expert lectures, and case discussions, please watch the full sessions in the playlist: Head & Neck COMPLICON 2 – Day 2    • Head & Neck COMPLICON 2024: Part 1 - Day 2   About Sri Shankara Cancer Hospital: Located in the heart of Bengaluru, our hospital is recognized for its patient-first approach, top-quality medical infrastructure, and a team of dedicated oncologists working to provide the best possible cancer care for all. Like, share, and subscribe for more updates from our hospital—expert talks, inspiring patient stories, surgical advancements, and healthcare events. #FreeFlapSurgery #PostoperativeCare #MicrovascularComplications #FlapSalvage #NeckBleed #HematomaManagement #DrainIssues #VenousInsufficiency #ArterialInsufficiency #FlapMonitoring #SurgicalReexploration #Thrombectomy #SalvageProtocol #SurgicalPlanning #EarlyDetectionSaves #Complicon #MedicalOncologyConference #InternationalHeadAndNeckConference #HNCSurgery #ReconstructiveSurgery