Free Flap Planning: From Patient Selection to a Reliable Surgical System
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Successful free flap reconstruction begins long before the first incision. The lecture looks at microsurgery as an ecosystem in which surgeons, anesthesiologists, operating-room nurses, intensivists and rehabilitation specialists work toward the same functional result.
A major focus is preoperative planning: understanding individual vascular anatomy, considering previous surgery and radiotherapy, selecting the least complex flap that adequately solves the defect, and preparing a realistic Plan B. The discussion also covers intraoperative perfusion assessment with ICG, patient positioning, prevention of complications and the practical details that can make a long microsurgical procedure safer and more predictable.
The final message is broader than flap survival itself: reconstruction should restore meaningful function and quality of life. Real-world cases and the Q&A reveal how experienced teams approach difficult anatomy, compromised recipient vessels, anesthetic management and decisions when the original plan stops working.
A major focus is preoperative planning: understanding individual vascular anatomy, considering previous surgery and radiotherapy, selecting the least complex flap that adequately solves the defect, and preparing a realistic Plan B. The discussion also covers intraoperative perfusion assessment with ICG, patient positioning, prevention of complications and the practical details that can make a long microsurgical procedure safer and more predictable.
The final message is broader than flap survival itself: reconstruction should restore meaningful function and quality of life. Real-world cases and the Q&A reveal how experienced teams approach difficult anatomy, compromised recipient vessels, anesthetic management and decisions when the original plan stops working.
PRAS-02
Course
Fundamentals of Microsurgical and Free-Flap Reconstruction
01
1:27:03
Free Flap Surgery: Microsurgical Aspects and Patient ManagementExplore the evolution and application of free flap reconstruction in modern surgery, focusing on complex trauma management and multidisciplinary orthoplastic approaches.
02
1:20:50
Microvascular Bone and Soft Tissue ReconstructionA case-driven lecture on vascularized bone grafts, free flaps and supermicrosurgery for complex trauma, nonunion, infection and limb salvage.
03
48:32
The Path to Microsurgery: Clinical Cases of Reconstruction of Combined Soft Tissue and Bone DefectsA practical account of developing a microsurgical service through complex reconstructive cases, failed flaps, team training, and increasingly demanding limb-salvage procedures.
04
1:00:51 Now playing
Free Flap Planning: From Patient Selection to a Reliable Surgical SystemFree flap surgery is more than microsurgical technique—it is a carefully coordinated system. This lecture explores how planning, team organization, vascular imaging, anesthesia, flap selection and rehabilitation shape the final reconstructive result.
Free Flap Planning: From Patient Selection to a Reliable Surgical System