Early discharge after free-tissue transfer does not increase adverse events

American Journal of Otolaryngology - Head and Neck Medicine and Surgery Dec 13, 2019

Hanick A, et al. - A total of 101 individuals who underwent 104 free flaps with were analyzed in order to show that carefully chosen free flap people may be discharged early following surgery without raising the rates of postoperative complications or readmissions. According to results, free flap indications involved orbital and maxillary defects, palatal defects, nasal and septal defects, cranioplasty and scalp defects, mandibular defects due to osteoradionecrosis, facial contouring and parotid defects, and complex postsurgical and radiotherapy wounds or fistula closure. Free flaps performed were anterolateral thigh, radial forearm, serratus, latissimus, fibula and supraclavicular. No flap failures or perioperative complications were linked to early discharge. An updated analysis of the clinical experience with more than double the size of the cohort substantiates previous findings that early discharge is a safe option in select patients after free-tissue transfer. In addition, earlier discharge is a critical choice of management that reduces costs and adverse events associated with hospitals.
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