Dual venous outflow improves lower extremity trauma free flap reconstructions.

Background: Venous outflow problems are the most common reasons for perioperative flap complications. The benefit of a second venous anastomosis, however, remains unclear in lower extremity trauma free flap reconstruction and warrants further investigation.

Materials And Methods: Retrospective review of our institutional flap registry from 1979 to 2014 identified 464 free flaps performed for lower leg trauma reconstruction.

A 35-Year Evolution of Free Flap-Based Breast Reconstruction at a Large Urban Academic Center.

Background: This study aims to characterize the evolution and trends in free flap breast reconstruction at our institution.

Methods: The authors reviewed and analyzed a registry of free flap breast reconstructions performed at a large urban academic center.

Results: Between 1979 and mid-2014, a total of 920 patients underwent breast reconstruction with 1,254 flaps.