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October 27, 2017Journal of Reconstructive Microsurgery

The provided text contains only author instructions for the Journal of Reconstructive Microsurgery and no clinical data from the study.

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Why the study?

Does preoperative medical status (high vs low ASA score) affect outcomes and complication rates in patients undergoing microsurgical free flap reconstructions?

Population

897 patients undergoing 969 microvascular free flap reconstructions at a major academic microsurgical center

Comparison

Microvascular free flap reconstruction in… vs Microvascular free flap reconstruction in…

Design

Cohort

Follow-up

3 months

Key result

The provided text contains only author instructions for the Journal of Reconstructive Microsurgery and no clinical data from the study.

Authors

PHPaul I. HeidekruegerMNMilomir NinkovićPBP. Niclas Broer

Discussion

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Overview

No increased complications in high-ASA patients; supports feasibility in observational cohorts but leaves open need for prospective validation.

Study Design

Type

Cohort (n=969)

Structured PICO

Does preoperative medical status (high vs low ASA score) affect outcomes and complication rates in patients undergoing microsurgical free flap reconstructions?

P
Population
897 patients undergoing 969 microvascular free flap reconstructions at a major academic microsurgical center
I
Intervention
Microvascular free flap reconstruction in 'high-risk' patients (ASA III and IV)
C
Comparator
Microvascular free flap reconstruction in 'low-risk' patients (ASA I and II)
O
Outcome
Flap survival, surgical complications, medical complications, operative times, flap failures, need for revision surgery, and hospital length of stay

Complex microsurgical free flap reconstruction can be safely performed in medically compromised patients with high preoperative risk without increased complication rates.

Limitations

  • Retrospective design

Cite This Study

Heidekrueger et al. (2017) conducted a cohort in Microsurgical Free Flap Reconstructions (n=969). Preoperative Medical Status vs. Matched cohort was evaluated. The provided text contains only author instructions for the Journal of Reconstructive Microsurgery and no clinical data from the study.

synapsesocial.com/papers/6a19e4ea3f3ec013f0df36abhttps://doi.org/10.1055/s-0037-1607309
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Also Consider

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  1. 1Free Flap Reconstruction After Recent Lower Limb Revascularization: A Matched Cohort Analysis of Safety and Limb Salvage Outcomes2026
  2. 2Free flap reconstruction after recent lower limb revascularization: a matched cohort analysis of safety and limb salvage outcomes.2026
  3. 3Factors Affecting Outcome in Free-Tissue Transfer in the Elderly2000 · 313 citations
  4. 4Understanding Risk in Emergent Reconstructive Flap Surgery2025
  5. 5Incidence and Risk Factors for Free Flap Compromise in Head and Neck Reconstruction: A Meta‐Analysis2026