Implementation of reconstructive ENT-tumor surgery with microvascular graft in a non-University Hospital

The paper deals with the implementation of reconstructive tumor surgery with microvascular grafts in a non-university hospital with approximately 540 patients from January 2014 to August 2017.

The studies objective was to present the introduction of a complex surgical technique at a non-university ENT clinic. Typical complications and particularities in the peri- and intraoperative care of patients and a progression over time were analyzed. Data covering OR time, revision rates, duration of stay, complication rates and pre-existing conditions of patients were analyzed.

The retrospective statistical evaluation is based on data from existing medical reports, narcosis protocols and documentation sheets from the intensive care unit.

In total, data from 92 patients were evaluated and subdivided into two populations over time.

In the first population, 54 operated patients with microvascular grafts were included between January 2014 and February 2016. In the second population, 38 operated patients between September 2016 and August 2017. The two populations were compared with respect to the question.

Considering various influencing factors, the implementation of a complex surgical procedure in a non-university clinic is successfully possible. Comparing the respective time cohorts with each other, a development to shorter operating times and lower complication rate can be represented over time. In the paper the corresponding influencing factors and developments are presented.

Publikationsverlauf

Publikationsdatum:
18. April 2018 (online)