HYPOALBUMINEMIA IN MICROSURGICAL FLAPS OF THE MUSCULOSKELETAL APPARATUS.

Acta Ortop Bras

Universidade de São Paulo, Hospital das Clínicas, Medical School, Institute of Orthopedics and Traumatology, Hand and Microsurgery Group, São Paulo, SP, Brazil.

Published: January 2020

AI Article Synopsis

  • The study aimed to assess whether low levels of serum total protein and albumin are risk factors for complications in limb reconstruction surgeries using microsurgical flaps.
  • It involved a review of data from 35 patients, highlighting that while hypoalbuminemia did not increase surgical complications, it did correlate with a longer hospital stay (p = 0.008).
  • The conclusion suggested that since a significant number of patients experienced hypoalbuminemia post-surgery, nutritional support may be beneficial for those undergoing complex limb reconstructive procedures.

Article Abstract

Objective: To evaluate if the levels of serum total protein and serum albumin are risk factors for surgical complications of free flap limb reconstruction.

Methods: Consecutive inclusion of all patients undergoing microsurgical flaps for limb reconstruction of complex injuries. We recorded epidemiological and laboratory data, including total proteins and fractions, for descriptive and analytical statistics.

Results: Our study analyzed one microsurgical flap from 35 patients that underwent complex injuries of the limbs. In total, 23 patients were men, and mean age of all patients was 35 years. After statistical analysis, no influence of pre or postoperative hypoalbuminemia was observed on the incidence of complications. Patients with hypoalbuminemia had a higher length of stay than those with normal albumin levels (p = 0.008).

Conclusion: We observed that 71% of patients had hypoalbuminemia in early postoperative period and we suggest a nutritional support for patients requiring complex traumatic limb reconstruction. Hypoalbuminemia in patients subjected to microsurgical flaps for the treatment of complex traumatic limb injuries did not influence the complications that required surgical reintervention; However, it was associated with prolonged hospital stay. .

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7405840PMC
http://dx.doi.org/10.1590/1413-785220202804233186DOI Listing

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