BACKGROUND: The experience of the microsurgical group of Federal University of Bahia is reported and the results and complications are analyzed. METHODS: Twenty microsurgical procedures (head and neck, breast and inferior limb reconstruction) were performed between February 2003 and June 2004. The complications were divided into immediate (operative period), early (until 21 days) and delayed (after 21 days). Complications related to reconstruction itself were divided into minor (partial necrosis or partial satisfaction) or major (total necrosis or no satisfaction). Complications related to donor sites were divided into minor (surgical repair) or major (deformity not acceptable). Results were divided into good, acceptable and bad. RESULTS: The flap survival rate was 73.68% with five total necrosis. It was reported 21.05% of immediate complications, 45% of early and no delayed complication related to reconstruction itself and the results were classified as good (55%), acceptable (20%) and bad (25%). It was observed 35% of early complications related to donor site and the results were classified as good (65%) and acceptable (35%) with no bad results. CONCLUSION: The high incidence of necrosis is related to the selection of patients. Good and acceptable results are important to credibility and establishment of microsurgery.
Microsurgery; Surgical flaps; Plastic surgery; Complications; Outcome assessment
