Complications of microsurgical reconstruction of obstetrical XXXX .

@entity1 @entity5300 @entity3126 @entity1284
The charts of the 173 consecutive @entity1 who underwent microsurgical reconstruction for obstetrical @entity5300 from 1988 to 1999 (inclusive) in the Division of Plastic Surgery at the Hospital for Sick @entity1 were analyzed. The overall complication rate was 33.5 percent, and there was no mortality in this series. The most significant intraoperative complication was accidental extubation, which occurred five times in the first 84 @entity1 (6 percent of this early group; 2.9 percent of the whole series). This complication was addressed by suturing the endotracheal tube to the membranous septum and by using a transparent drape to allow direct visualization of the tube in all 89 subsequent @entity1 . There have been no further accidental extubations. Postoperative @entity1284 occurred in 14 @entity1 (8.1 percent), three (1.7 percent) of whom developed @entity3126 . Intensive care unit admission was required in two of those @entity1 . Diuretic treatment was required in seven @entity1 . No @entity1 receiving less than or equal to 4 ml/kg/hour developed @entity1284 , whereas 50 percent of the @entity1 receiving greater than or equal to 10 ml/kg/hour did. Currently, the authors' policy is to strictly limit intravenous maintenance fluids to 4 ml/kg/hour or less. Despite the long and complex procedure required to reconstruct obstetrical @entity5300 , the incidence of significant complications can be minimized with simple precautions, such as suturing the endotracheal tube to the septum or reducing the amount of fluids administered during the operation.
