Sahel Medical Journal

CASE REPORT
Year
: 2004  |  Volume : 7  |  Issue : 2  |  Page : 73--75

Microvascular free flap reconstruction: The challenges in the developing country


IA ADIGUN1, TO ODEBODE2 
1 Division of Plastic and Reconstructive Surgery,Department of Surgery, University of Ilorin Teaching Hospital, Ilorin,Kwara State, Nigeria
2 Division of Neurosurgery, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria

Correspondence Address:
I A ADIGUN
Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, P.M.B. 1459, Kwara State
Nigeria

After years of development, microvascular free tissue transfer has been firmly established as the primary method for reconstrutive surgery. The concept of using a reconstructive ladder to repair complex defects has been revolutionized and the tradition of using free flap surgery as the last resort has been challenged. In a developing country like ours , surgeons are still contending with the basic prol;΋lems of microvascular free tissue transplantation . An 18- year old student presented to our hospital with a diagnosis of osteomyelitis of the frontal bone. A radical debrid ement of osteomyelitic bone was done and the defect created was repaired with a microvascular free lattisimus dorsi musculocutaneous flap. The procedure lasted about 16 hours with a long duration of warm ischaemic time , but the flap survived. Institutional support Is highly necessary for making available appropriate microvascular instruments, operating microscope, pharmacologic agents, : allocation of operative time and post operative care, if we must make In the field of fflicrovascular surgery In the West African sub-region .


How to cite this article:
ADIGUN I A, ODEBODE T O. Microvascular free flap reconstruction: The challenges in the developing country.Sahel Med J 2004;7:73-75


How to cite this URL:
ADIGUN I A, ODEBODE T O. Microvascular free flap reconstruction: The challenges in the developing country. Sahel Med J [serial online] 2004 [cited 2021 Oct 21 ];7:73-75
Available from: https://www.smjonline.org/article.asp?issn=1118-8561;year=2004;volume=7;issue=2;spage=73;epage=75;aulast=ADIGUN;type=0