Abstract:

Purpose: The aim of this study is to evaluate the factors associated with post-operative flep complication in patients who are undergoing flep reconstruction and followed in post-operative intensive care unit (PCI) between 2014-2018 years due to tissue defects in the lower limbs. Instruments and Methods: The demographic data of patients, the size of tissue defect, the level of hemoglobin, anesthesia and surgical periods, blood transfusion amounts, the presence of postoperative complications, hospitalization periods, tissue culture results and hospitalization periods in the UBS were recorded retrospectively. The SPSS program was used for statistical analysis. Results: The most common cause of tissue defect was a traffic accident and the defect size was 118.35±74.74 cm2. Postoperative complications were observed in 12 (42.9%) patients. The most common complications were hematom and parcial flep necrosis. Ten patients (35.7%) were found to be reproductive in cultural results. In developing patients with Flep complication, compared to those undeveloped, smoking was significantly higher than the American Anesthesia Association (ASA) score and age (p<0,05). It was similar to the time in YBU. The postoperative hospitalization periods were longer in these patients (p<0,05). The result: In our study, it was found that smoking, age and ASA score were an important risk factor in terms of post-operative flep complications. These patients have been diagnosed with a longer postoperative hospital stay.

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