| Near Infrared Spectroscopy for Monitoring Flap Viability Following Breast Reconstruction. | |
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MedLine Citation:
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PMID: 22131106 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Free flap monitoring is essential to the early detection of compromise thereby increasing the chance of successful salvage surgery. Many alternatives to classical clinical monitoring have been proposed. This study seeks to investigate a relatively new monitoring technology: near infrared spectroscopy (NIRS). Patients were recruited prospectively to the study from a single center. During the research period, 10 patients underwent reconstruction with a free deep inferior epigastric perforator flap (DIEP). Measurements of flap perfusion were taken using NIRS in the preoperative and intraoperative phases and postoperatively for 72 hours. NIRS showed characteristic changes in all cases which returned to theater for pedicle compromise. In these cases, NIRS identified pedicle compromise prior to clinical identification. There were no false-positives. NIRS accurately identified all compromised flaps in our study. In most cases, there was an evidence of changes in oxygen saturation on NIRS prior to clinical observation. Further research, ideally double blind randomized control trials with large sample groups would be required to definitively establish NIRS as an ideal flap monitoring modality. |
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Authors:
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Iain S Whitaker; George F Pratt; Warren Matthew Rozen; Scott A Cairns; Matthew David Barrett; Leong Yoon Hiew; Mark Acs Cooper; David J Leaper |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-30 |
Journal Detail:
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Title: Journal of reconstructive microsurgery Volume: - ISSN: 1098-8947 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-12-1 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8502670 Medline TA: J Reconstr Microsurg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA. |
Affiliation:
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Department of Plastic, Reconstructive, and Burns Surgery, Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom; |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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