Doppler flowmetry in the planning of perforator flaps
| Autor: | Patrick Tonnard, Raymond Verhaeghe, Stan Monstrey, G. Matton, Koenraad Van Landuyt, Guy Beyens, Phillip Blondeel |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Mammaplasty Free flap Sensitivity and Specificity Surgical Flaps Duplex scanning DIEP flap medicine.artery Superior gluteal artery Preoperative Care Laser-Doppler Flowmetry medicine Humans Ultrasonography Doppler Color Child Aged Pressure Ulcer Leg Thoracodorsal artery business.industry Middle Aged eye diseases Surgery Plastic surgery Otorhinolaryngology Child Preschool Female business Blood Flow Velocity Perforator flaps |
| Zdroj: | Ghent University Academic Bibliography |
| ISSN: | 0007-1226 |
| DOI: | 10.1016/s0007-1226(98)80010-6 |
| Popis: | Perforator flaps have become the first choice in free flap reconstruction of contour defects or skin and fat replacement in our department. The Deep Inferior Epigastric Perforator (DIEP), the Superior Gluteal Artery Perforator (S-GAP) and the Thoracodorsal Artery Perforator (TAP) flaps are now routinely used. By evaluating the vascular anatomy of these flaps preoperatively, we intend to improve our surgical strategy so that these operative procedures can proceed in a faster and safer way. In this study, the results of the colour Duplex scanning in 50 consecutive DIEP flap patients are reviewed and evaluated for their sensitivity and positive predictive value. Also the preoperative information from unidirectional Doppler flowmetry in 30 S-GAP flaps and 11 TAP flaps is evaluated for its reliability. Due to the variable vascular anatomy of the lower abdominal wall and the dorso-lateral thoracic wall we now prefer using the colour Duplex scanning for planning the DIEP and TAP flaps. The more constant course of the branches of the superior gluteal artery allows us to use the easier and cheaper unidirectional Doppler flowmetry for planning the S-GAP flap. |
| Databáze: | OpenAIRE |
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