Vascularized Free Tissue Transfer in a Patient with Hemophilia B: Case Report and Literature Review

Joint Authors

Murphy, James
Qaisi, Mohammed
Kierce, Justin

Source

Case Reports in Surgery

Issue

Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2019-12-30

Country of Publication

Egypt

No. of Pages

7

Main Subjects

Medicine

Abstract EN

Hemophilia is a blood disorder characterized by impairment of the coagulation cascade leading to an increased bleeding risk (Kauffman, 2014).

As such, surgical management of these patients can become difficult and well-defined surgical guidelines are not yet in place (Assoumane et al., 2017).

Close monitoring of perioperative factor levels may be even more crucial for those undergoing microvascular free tissue transfer.

This is because either a hypercoagulable or hypocoagulable bleeding state has the potential to further increase the risk of vascular compromise to the flap.

We report a successful case of mandibular reconstruction using a free fibular flap in a patient with severe hemophilia B and the protocols we used, as well as a review of the literature of similar cases.

In the literature, we identified 6 cases of microvascular free tissue transfer in patients with hemophilia; two of these cases had complications which were both related to excess bleeding.

It is crucial that these cases be managed in a multidisciplinary fashion in close consultation with a hematologist.

The role of venothromboembolism (VTE) prophylaxis in the hemophilic patient undergoing free tissue transfer is discussed.

American Psychological Association (APA)

Qaisi, Mohammed& Kierce, Justin& Murphy, James. 2019. Vascularized Free Tissue Transfer in a Patient with Hemophilia B: Case Report and Literature Review. Case Reports in Surgery،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1144848

Modern Language Association (MLA)

Qaisi, Mohammed…[et al.]. Vascularized Free Tissue Transfer in a Patient with Hemophilia B: Case Report and Literature Review. Case Reports in Surgery No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1144848

American Medical Association (AMA)

Qaisi, Mohammed& Kierce, Justin& Murphy, James. Vascularized Free Tissue Transfer in a Patient with Hemophilia B: Case Report and Literature Review. Case Reports in Surgery. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1144848

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1144848