Đánh giá kết quả theo dõi và chăm sóc bệnh nhân sau phẫu thuật tạo hình bằng các vạt vi phẫu tại Khoa Phẫu thuật Hàm mặt và Tạo hình, Bệnh viện TƯQĐ 108

Abstract

microsurgery to detect and report to surgeons in time the problems related to the blood supply for the flaps and salvage treatment, then to propose a protocol to increase the quality of treatment procedure.
Subjects and methods: Retrospective care of 56 patients formed by free flaps from January 2018 to December 2019 at the Plastic and reconstructive Surgery Department, including general care and look after the free flaps.
Results: The average age of the patient group is 48.5 years. Gender: Male number is more than female ratio 3 : 1. The rate of use of software flap is more than that of the flap, in which male patients use soft tissue flap and bone flap mainly, while women use both flaps less. Time track flap from 7 to 15 days. 85.7% flap with clinical signs: Pink, warm, fine capillary reflux, needle prick bleeding. 100% of the patients were cared for, ensuring the diet, dressing, dental hygiene and good exercise regime.
Conclusion: The procedure of follow-up and care of patients after plastic surgery micro flaps performed at the Department of Plastic and Reconstructive surgery for 2 years from 01/2018 to 12/2019 is quite accurate and reasonable. , help patients be closely monitored, quickly recover from surgery, shorten treatment time. However, this process needs to be included in the code to confirm its superiority.