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フクナガ ユタカ
Yutaka Fukunaga
福永 豊 所属 川崎医科大学 医学部 臨床医学 形成外科学 職種 講師 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Clinical assessment of early mobilization after head and neck free flap reconstruction: A retrospective case-control study. |
| 掲載誌名 | 正式名：Journal of plastic, reconstructive & aesthetic surgery : JPRAS 略 称：J Plast Reconstr Aesthet Surg ISSNコード：18780539/17486815 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 75(11),pp.3997-4002 |
| 著者・共著者 | Ayako Takaya, Takuya Higashino, Azusa Oshima, Yutaka Fukunaga, Jun Ohba, Ayumi Suzuki, Akatsuki Kondo, Ryuichi Hayashi |
| 発行年月 | 2022/11 |
| 概要 | PURPOSE:We examined whether there were any differences in perioperative complications between patients who mobilized on the first postoperative day (early mobilization) and those who mobilized on the second postoperative day after head and neck reconstruction using free tissue transfer.METHODS:In the control group (n = 74), patients were instructed to mobilize on the second postoperative day (April 2019-March 2020), while in the early mobilization group (n = 101), patients were instructed to mobilize on the first postoperative day (April 2020-March 2021). Mobilization was defined as maintaining a standing position or walking. Clinical data were collected from medical records and retrospectively analyzed.RESULTS:There were no significant differences in clinical background factors, with the exception of intraoperative blood loss volume. The proportion of patients who successfully mobilized on the day of instruction was significantly lower in the early mobilization group (89.1% vs. 98.7%). One case of total flap loss and four cases of partial flap loss occurred in the control group, and three cases of partial flap loss occurred in the early mobilization group. There was no significant difference in partial or total flap loss between the two groups. There were no significant differences in other perioperative complications (wound infection, postoperative bleeding, and delirium) between the two groups. The median postoperative hospital stay was 24.5 and 25.0 days in the control and early mobilization groups, respectively.CONCLUSION:In this study, early mobilization on the first day after head and neck free flap reconstruction was safe and feasible. |
| DOI | 10.1016/j.bjps.2022.08.047 |
| PMID | 36220743 |