Fifty free flap operations in 49 patients were performed in Oulu Unive
rsity Central Hospital during a three year period. The patients' ages
ranged from 15 to 83 years; mean 41 years. The indication for the oper
ation was malignant tumor in 19 cases, benign tumor in one case, traum
a in 28 cases and congenital anomaly in 2 cases. The radial forearm fl
ap was used in 36 cases; latissimus dorsi in 7 cases; lateral arm, rec
tus abdominis, and fibula in two cases; and second toe in one case. Fo
rty-nine of the fifty flaps were successful (98%); two venous thrombos
es were successfully revised. Starting microsurgery in a new unit is d
emanding but also rewarding due to the good results. (C) 1994 Wiley-Li
ss, Inc.