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The use of tranexamic acid has exciting potential in microvascular surgery with possible decreased bleeding and seroma formation but has been met with concern for microthrombus formation and subsequent flap loss. Bailey Huser and her co-authors from the University of Wisconsin School of Medicine and Public Health Division of Plastic and Reconstructive Surgery evaluated surgical outcomes with the use of intraoperative tranexamic acid in free flap transfer using retrospective chart review. They found no association between the intraoperative use of tranexamic acid and flap loss showing potential for increased future research and application of tranexamic acid in microvascular surgery. Use of Tranexamic Acid Is Not Associated with Increased Risk of Flap Loss in Microvascular Free Tissue Transfer Armin Edalatpour @arminaps, MD, Bailey C. Huser, BS, Kirsten A. Gunderson, BS, Evalina Bond, BS, Katherine Rose, MD, Katherine M. Gast, MD, MS Division of Plastic and Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

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