Abstract
Deformities of the head and neck region after radical oncosurgery can have devastating effects on the appearance of the patient with significant impact on patients quality of life. Reconstruction of such defects continues to be an extremely demanding challenge for plastic surgeons who aim to restore form and function with minimal surgical morbidity. The purpose of this communications is to highlight the various interventions and the protocols that are adopted to decrease the free flap failure rate.
Highlights
Letter to the editor Improvised perioperative techniques to meet the challenges of microvascular free flap surgery
Infusions of propofol and atracurium are used for maintenance of anaesthesia under BIS guidance and nitrous oxide is avoided
During the dissection stages of surgery, controlled hypotension improves the visualisation of the surgical field and reduces blood loss
Summary
Letter to the editor Improvised perioperative techniques to meet the challenges of microvascular free flap surgery. Journal of Society of Anesthesiologists of Nepal Rajiv Gandhi Cancer Institute and Research Centre, Sector 5, Rohini, Delhi 110085, India The purpose of this communications is to highlight the various interventions and the protocols that are adopted to decrease the free flap failure rate.
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