HYPOALBUMINEMIA IN MICROSURGICAL FLAPS OF THE MUSCULOSKELETAL APPARATUS

To evaluate if the levels of serum total protein and serum albumin are risk factors for surgical complications of free flap limb reconstruction. Consecutive inclusion of all patients undergoing microsurgical flaps for limb reconstruction of complex injuries. We recorded epidemiological and laborator...

Full description

Saved in:
Bibliographic Details
Published inActa ortopedica brasileira Vol. 28; no. 4; pp. 168 - 171
Main Authors da Silva, Ana Carolina Oliveira, Silva, Gustavo Bersani, Cho, Alvaro Baik, Wei, Teng Hsiang, Mattar, Rames, Iamaguchi, Raquel Bernardelli
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil ATHA EDITORA 01.07.2020
Sociedade Brasileira de Ortopedia e Traumatologia
Subjects
Free Tissue Flaps
Hypoalbuminemia
Original
ORTHOPEDICS
Postoperative Complications
Risk Factors
Hypoalbuminemia
Free Tissue Flaps
Postoperative Complications
Risk Factors
Retalhos de Tecido Biológico
Complicações Pós-Operatórias
Hipoalbuminemia
Fatores de Risco
Online AccessGet full text

Cover

More Information
Summary:To evaluate if the levels of serum total protein and serum albumin are risk factors for surgical complications of free flap limb reconstruction. Consecutive inclusion of all patients undergoing microsurgical flaps for limb reconstruction of complex injuries. We recorded epidemiological and laboratory data, including total proteins and fractions, for descriptive and analytical statistics. Our study analyzed one microsurgical flap from 35 patients that underwent complex injuries of the limbs. In total, 23 patients were men, and mean age of all patients was 35 years. After statistical analysis, no influence of pre or postoperative hypoalbuminemia was observed on the incidence of complications. Patients with hypoalbuminemia had a higher length of stay than those with normal albumin levels (p = 0.008). We observed that 71% of patients had hypoalbuminemia in early postoperative period and we suggest a nutritional support for patients requiring complex traumatic limb reconstruction. Hypoalbuminemia in patients subjected to microsurgical flaps for the treatment of complex traumatic limb injuries did not influence the complications that required surgical reintervention; However, it was associated with prolonged hospital stay. .
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
AUTHORS’ CONTRIBUTIONS: Each author contributed individually and significantly to the development of this article. ACOS: wrote the paper and edited the manuscript; GBS: performed the surgeries and supervision; ABC: performed the surgeries and supervision; THW: performed the surgeries and supervision; RMJ: supervision; RBI: wrote the paper, edited the manuscript, performed the surgeries and supervision.
All authors declare no potential conflict of interest related to this article.
ISSN:1413-7852
1809-4406
1809-4406
DOI:10.1590/1413-785220202804233186