Abstract
The results of microsurgical procedures in 43 patients who underwent replantation, as well as free tissue transfer were studied. The following scheme of antithrombotic medication was applied postoperatively: a) 330 mg acetylsalicylic acid and 75 mg dipyridamole; b) 440 mL low molecular weight dextran, divided in 2 doses; c) 60000 IU streptokinase and 15000 IU streptodonase; and d) 100 mg diclofenac. 29 of the patients were completely free of complications. Transient vascular spasm was noted in 10 patients and 2 patients developed necrotic lesions distal to the microvascular anastomosis which resulted in two secondary amputations. These results suggest that although antithrombotic treatment can not be seen as a substitute for fine surgical procedures, it still remains powerful tool in the hands of microsurgeons.