Free Flaps in a Resource Constrained Environment: A Five-Year Experience—Outcomes and Lessons Learned
Identifieur interne : 001D67 ( Main/Exploration ); précédent : 001D66; suivant : 001D68Free Flaps in a Resource Constrained Environment: A Five-Year Experience—Outcomes and Lessons Learned
Auteurs : Wanjala F. Nangole [Kenya] ; Stanley Khainga [Kenya] ; Joyce Aswani [Kenya] ; Loise Kahoro [Kenya] ; Adelaine Vilembwa [Kenya]Source :
- Plastic Surgery International [ 2090-1461 ] ; 2015.
Abstract
Url:
DOI: 10.1155/2015/194174
PubMed: 26347817
PubMed Central: 4548138
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Free Flaps in a Resource Constrained Environment: A Five-Year Experience—Outcomes and Lessons Learned</title><author><name sortKey="Nangole, Wanjala F" sort="Nangole, Wanjala F" uniqKey="Nangole W" first="Wanjala F." last="Nangole">Wanjala F. Nangole</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100</wicri:regionArea><wicri:noRegion>Nairobi 00100</wicri:noRegion></affiliation></author><author><name sortKey="Khainga, Stanley" sort="Khainga, Stanley" uniqKey="Khainga S" first="Stanley" last="Khainga">Stanley Khainga</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100</wicri:regionArea><wicri:noRegion>Nairobi 00100</wicri:noRegion></affiliation></author><author><name sortKey="Aswani, Joyce" sort="Aswani, Joyce" uniqKey="Aswani J" first="Joyce" last="Aswani">Joyce Aswani</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100</wicri:regionArea><wicri:noRegion>Nairobi 00100</wicri:noRegion></affiliation></author><author><name sortKey="Kahoro, Loise" sort="Kahoro, Loise" uniqKey="Kahoro L" first="Loise" last="Kahoro">Loise Kahoro</name><affiliation wicri:level="1"><nlm:aff id="I2">Kenyatta National Hospital, P.O. Box 20723, Nairobi 00202, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Kenyatta National Hospital, P.O. Box 20723, Nairobi 00202</wicri:regionArea><wicri:noRegion>Nairobi 00202</wicri:noRegion></affiliation></author><author><name sortKey="Vilembwa, Adelaine" sort="Vilembwa, Adelaine" uniqKey="Vilembwa A" first="Adelaine" last="Vilembwa">Adelaine Vilembwa</name><affiliation wicri:level="1"><nlm:aff id="I2">Kenyatta National Hospital, P.O. Box 20723, Nairobi 00202, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Kenyatta National Hospital, P.O. 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Nangole</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100</wicri:regionArea><wicri:noRegion>Nairobi 00100</wicri:noRegion></affiliation></author><author><name sortKey="Khainga, Stanley" sort="Khainga, Stanley" uniqKey="Khainga S" first="Stanley" last="Khainga">Stanley Khainga</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100</wicri:regionArea><wicri:noRegion>Nairobi 00100</wicri:noRegion></affiliation></author><author><name sortKey="Aswani, Joyce" sort="Aswani, Joyce" uniqKey="Aswani J" first="Joyce" last="Aswani">Joyce Aswani</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Department of Surgery (Plastic), University of Nairobi, P.O. Box 30197, Nairobi 00100</wicri:regionArea><wicri:noRegion>Nairobi 00100</wicri:noRegion></affiliation></author><author><name sortKey="Kahoro, Loise" sort="Kahoro, Loise" uniqKey="Kahoro L" first="Loise" last="Kahoro">Loise Kahoro</name><affiliation wicri:level="1"><nlm:aff id="I2">Kenyatta National Hospital, P.O. Box 20723, Nairobi 00202, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Kenyatta National Hospital, P.O. Box 20723, Nairobi 00202</wicri:regionArea><wicri:noRegion>Nairobi 00202</wicri:noRegion></affiliation></author><author><name sortKey="Vilembwa, Adelaine" sort="Vilembwa, Adelaine" uniqKey="Vilembwa A" first="Adelaine" last="Vilembwa">Adelaine Vilembwa</name><affiliation wicri:level="1"><nlm:aff id="I2">Kenyatta National Hospital, P.O. Box 20723, Nairobi 00202, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Kenyatta National Hospital, P.O. Box 20723, Nairobi 00202</wicri:regionArea><wicri:noRegion>Nairobi 00202</wicri:noRegion></affiliation></author></analytic><series><title level="j">Plastic Surgery International</title><idno type="ISSN">2090-1461</idno><idno type="eISSN">2090-147X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Introduction</italic>. Free flap surgery is a routine procedure in many developed countries with good surgical outcomes. In many developing countries, however, these services are not available. In this paper, we audit free flaps done in a resource constrained hospital in Kenya. <italic>Objective</italic>. This is a five-year audit of free flaps done in a tertiary hospital in Kenya, between 2009 and 2014. <italic>Materials and Methods</italic>. This was a prospective study of patients operated on with free flaps between 2009 and 2014. <italic>Results</italic>. A total of one hundred and thirty-two free flaps in one hundred and twenty patients were performed during the five-year duration. The age range was eight to seventy-two years with a mean of 47.2. All the flaps were done under loupe magnification. The overall flap success rate was eighty-nine percent. <italic>Conclusion</italic>. Despite the many limitations, free flaps in our setup were successful in the majority of patients operated on. Flap salvage was noted to be low due to infrequent flap monitoring as well as unavailability of theatre space. One therefore has to be meticulous during surgery to reduce any possibilities of reexploration.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Daniel, R K" uniqKey="Daniel R">R. K. Daniel</name></author><author><name sortKey="Taylor, G I" uniqKey="Taylor G">G. I. Taylor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcclean, D H" uniqKey="Mcclean D">D. H. McClean</name></author><author><name sortKey="Buncke, H J" uniqKey="Buncke H">H. J. Buncke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcgregor, I A" uniqKey="Mcgregor I">I. A. McGregor</name></author><author><name sortKey="Jackson, I T" uniqKey="Jackson I">I. T. Jackson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Serafin, D" uniqKey="Serafin D">D. 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Nangole</name></noRegion><name sortKey="Aswani, Joyce" sort="Aswani, Joyce" uniqKey="Aswani J" first="Joyce" last="Aswani">Joyce Aswani</name><name sortKey="Kahoro, Loise" sort="Kahoro, Loise" uniqKey="Kahoro L" first="Loise" last="Kahoro">Loise Kahoro</name><name sortKey="Khainga, Stanley" sort="Khainga, Stanley" uniqKey="Khainga S" first="Stanley" last="Khainga">Stanley Khainga</name><name sortKey="Vilembwa, Adelaine" sort="Vilembwa, Adelaine" uniqKey="Vilembwa A" first="Adelaine" last="Vilembwa">Adelaine Vilembwa</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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