When vascular anastomoses are performed with microsurgical techniques, the endothelial damage step in Virchow's procoagulation factor triad has already occurred. Therefore, the threat of thrombosis is always present after these surgeries. Although it is known that a good surgical technique is the most important step in preventing vascular thrombosis, early diagnosis of thrombosis with some flap follow-up methods saves the flap. In addition, some intraoperative and postoperative antithrombotic drugs are frequently used by surgeons alone or in combination. The learning/reinforcement objectives in this review are: thrombosis pathophysiology, methods used in flap and replant follow-up, antithrombotic/anticoagulant/antiplatelet terminology, drugs used and scientific evidence presented about them. The main purpose is to discuss whether a common language and approach can be developed for the follow-up of flap or replantation after vascular repair and the use of drugs.
Key words: antithrombotic, flap, follow-up, replantation, vascular
|