Chapter 2 Table 2.2 Complications. Return to operating theatre Conservative treatment Postoperative bleeding Anastomosis revision Debridement mi‐FC None None None 15 ma‐FC 1 4 13 + 4a None TFL None 5 1 + 5b None Total 2 11 23c 15 a b Four secondary debridement after revision of anastomosis; Five secondary debridement after revision of anastomosis; cTwo patients received musculocutaneous latissimus dorsi flap in conjunction with implants for reconstruction, three patients needed split skin graft for closure and in the remaining 18 patients, the defect could be closed after removable of non‐viable tissue. No significant differences were found in the hemodynamics (blood pressure and heart rate) and in temperature during the first 24 h after surgery when comparing patients with or without complications (Figure 2.1). Figure 2.1 Mean arterial pressure (MAP) is compared in patients with or without complications. The mean volume of fluid therapy preoperatively was 4.20±0.14 L. Haematocrit level prior to surgery was 0.39±0.03% and dropped to 0.32±0.04% at the end of the procedure. Haematocrit level had no effect on clinical outcome. Mean arterial pressure (MAP) during anastomosis was 72.1±1.4 mmHg. Normal preoperatively MAP values in patient population were 78.2±1.6. The volume of fluid therapy (colloid + crystalloid) did not affect hemodynamics during the perioperative period (Figure 2.2, analysis performed with a cut‐off point of 4.2 L). 30
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