On this epiosde Dr.Joseph Ricci hosts a discussion on the use of TXA (tranexamic acid) in plastic surgery. All panelists are part of the ASPS Microsurgery/Reconstruction Work Group.

Moderator:
Joseph Ricci, MD

Guest Speakers:

Sarah Bishop, MD

Stav Brown, MD

Mimi Rosealie Borrelli, MBBS, PhD, MSc, BSc

Please see below for studies referenced during our panelists discussion:

Brown S, Brown T, Rohrich RJ. Clinical Applications of Tranexamic Acid (TXA) in Plastic and Reconstructive Surgery. Plast Reconstr Surg. 2024 Jan 10. doi: 10.1097/PRS.0000000000011288. Epub ahead of print. PMID: 38196097.

Chauncey JM, Wieters JS. Tranexamic acid. InStatPearls [Internet] 2023 Jul 24. StatPearls Publishing.

Lardi AM, Dreier K, Junge K, Farhadi J. The use of tranexamic acid in microsurgery-is it safe? Gland Surgery. Aug 2018;7(Suppl 1):S59-s63. 

Litaiem N, Cherif M, Zeglaoui F. Efficacy and Safety of Intralesional Tranexamic Acid Injections in the Treatment of Postoperative Scars: A Split-Scar Comparative Study. Dermatologic Surgery. 2022 May 12:10-97.

Kim KM, Lim HW. The uses of tranexamic acid in dermatology: a review. International journal of dermatology. 2023 May;62(5):589-98.

Valerio IL, Campbell P, Sabino J, et al. TXA in combat casualty care--does it adversely affect extremity reconstruction and flap thrombosis rates? Military medicine. Mar 2015;180(Suppl):24-8.

Rose K, Edalatpour A, Gunderson KA, Michelotti BF, Poore SO, Gast K. Topical Tranexamic acid (TXA) decreases time to drain removal, wound healing complications, and postoperative blood loss in autologous breast reconstruction: a retrospective study. Plastic Surgery. 2024 Aug;32(3):395-403.

Yalamanchili S, Talei B, Azizzadeh B, Auersvald A, Frankel AS. Wound healing complications with tranexamic acid: not the silver bullet after all. Aesthetic surgery journal. 2023 Dec;43(12):1409-15.