Aunt Rui, a hundred-year-old woman surnamed Cai, has a large and deep malignant adenoma on her left face. Because of her age and weak cardiopulmonary function, long-term general anesthesia operation is extremely risky. Hui Zhou, the attending surgeon of Zhang Ji's plastic reconstruction, can successfully resect the tumor extensively under local anesthesia, and then reconstruct the facial wound with free thigh flap for microsurgery. More than a year after the operation, the flap survived well and there was no sign of tumor recurrence. Giving up free flap surgery for fear of high risk of general anesthesia is a kind of microsurgery and plays an important role in modern reconstruction surgery. Dr. Hui Zhou Neng pointed out that this kind of operation usually takes a long time under general anesthesia, ranging from 4 to 5 hours fast to over 65,438+00 hours slow. Many patients have to give up the opportunity of free flap surgery because of the high risk of general anesthesia (such as severe cardiopulmonary disease, liver and kidney failure, difficult tracheal intubation, etc.). ). Local anesthesia is safer. In order to give these patients a chance to receive free flap surgery to treat diseases or reconstruct wounds, Akira Plastic Reconstruction Surgery Team and Dr. Hui Zhou Neng performed free flap microsurgery for some patients who were too risky or unwilling to receive general anesthesia with safer local anesthesia. At present, more than 40 patients have been benefited, and the wounds of limbs and head and neck have been successfully reconstructed, including two difficult thumb reconstruction operations (transplanting the big toe of the foot to the hand), and the transplanted skin flap has survived 100%. Local anesthesia reduces surgical complications. Dr. Hui Zhou Neng pointed out that the advantages of local anesthesia in free flap surgery include reducing surgical complications and being safer; No need to insert a catheter; During the operation, the patient is awake and can listen to music or watch movies, which is of far-reaching significance to developing China or countries with backward medical care (improving the safety and accessibility of the operation); However, local anesthesia is difficult to be used for patients who can't cooperate (communicate), which is the limitation of free flap surgery. Subscribe to the health Aloha audio-visual channel, read health knowledge more easily, and pay attention to your health every day! Line @ ID: @:/cancer/article/28627/Bai Shirui completed free skin flap transplantation to remove facial malignant adenoma Keywords: adenoma, Zhou Huineng, free skin flap, reconstruction surgery, Akira plastic reconstruction surgery, H.