ArticleFrontiers in surgery2023
Predictors of surgical site infection following reconstructive flap surgery: A multi-institutional analysis of 37,177 patients.
Article in Frontiers in surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 16 citations in OpenAlex.
- Risk factors for surgical-site infections in oral cancer patients with microvascular free flap reconstruction-A retrospective study in a single medical center in Taiwan.Journal of dental sciences · 2026Article
- Impact of Preoperative Urinary Tract Infection on Postoperative Outcomes in Plastic Surgery.Plastic and reconstructive surgery. Global open · 2026Article
- Article
- "Y" Configuration of the Arterial Pedicle or the Use of a Saphenous Vein Graft for Microsurgical Reconstruction in the Old and Diseased-A Retrospective Study.Journal of clinical medicine · 2024Article
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
Purpose: Rates of surgical site infection (SSI) following reconstructive flap surgeries (RFS) vary according to flap recipient site, potentially leading to flap failure. This is the largest study to determine predictors of SSI following RFS across recipient sites. Methods: The National Surgical Quality Improvement Program database was queried for patients undergoing any flap procedure from years 2005 to 2020. RFS involving grafts, skin flaps, or flaps with unknown recipient site were excluded. Patients were stratified according to recipient site: breast, trunk, head and neck (H&N), upper and lower extremities (UE&LE). The primary outcome was the incidence of SSI within 30 days following surgery. Descriptive statistics were calculated. Bivariate analysis and multivariate logistic regression were performed to determine predictors of SSI following RFS. Results: 37,177 patients underwent RFS, of whom 7.5% ( Conclusion: Longer operating time was a significant predictor of SSI regardless of reconstruction site. Reducing operating times through proper surgical planning might help mitigate the risk of SSI following RFS. Our findings should be used to guide patient selection, counseling, and surgical planning prior to RFS.
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