| Pr01 "a picture speaks a thousand words"- the use of digital photography and the internet in monitoring free tissue transfer. | |
| | |
MedLine Citation:
|
PMID: 17490237 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Purpose Post operative monitoring is crucial for the success of microsurgical free tissue transfer. Sophisticated and expensive methods are available for monitoring. We propose a novel technique using digital photography and the internet as a reliable and cost effective method to monitor free tissue transfers. Methods 163 micro-vascular procedures were monitored using this technique over 8 months. Serial photographs taken to show flap color. Capillary refill time, pin prick- bleed time and color and hand held Doppler signal was recorded in the movie mode of a standard 5 mega pixel camera with duration of 15 seconds. Data was sent to the surgeon at regular intervals and or as deemed necessary. Results Analysis of the 67 cases is presented. 5 re-explorations were done. The early diagnosis of venous congestion was possible using this technique. Timely intervention contributed to the success of the re-explorations and these flaps could be salvaged. The file size of images was in the range of 1 MB-6 MB. The file size of an entire set of images ranged about 7 MB-9 MB. These were sent across the ADSL internet lines. Conclusion The use of the digital images and the internet allow reconstructive surgeons to have a reliable picture of the state of their free tissue transfers. This permits decrease in observer error and saves valuable time which otherwise needs to be spent to verify situations of doubt and offers an ideal solution to the logistic problem of having to visit the patient in case of doubt. |
| | |
Authors:
|
A Varkey; N C Tan; R Girotto; W C Tang; Y T Liu; H C Chen |
Related Documents
:
|
9853237 - Application of m-mode sonography to functional evaluation in pediatric patients. 18209917 - Effect of intertrochanteric osteotomy on the proximal femur of rabbits: assessment with... 2407897 - Model studies of nonsteady flow using magnetic resonance imaging. 1593947 - Twisting radial lines with application to robust magnetic resonance imaging of irregula... 18406107 - Assessment of mandibular invasion of squamous cell carcinoma by various modes of imagin... 17466007 - The advantage of measuring spontaneous growth hormone (gh) secretion compared with the ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: ANZ journal of surgery Volume: 77 Suppl 1 ISSN: 1445-1433 ISO Abbreviation: - Publication Date: 2007 May |
Date Detail:
|
Created Date: 2007-05-10 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101086634 Medline TA: ANZ J Surg Country: Australia |
Other Details:
|
Languages: eng Pagination: A62 Citation Subset: IM |
Affiliation:
|
E-DA Hospital, Yanchao Shiang, Kaohsiung County, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pr02 the split thickness skin graft donor site; have we found the perfect dressing?
Next Document: Pr08 lymphatic malformations and the molecular basis of lymphangiogenesis.