| Preoperative vascular assessment of the lower limb for harvest of a fibular flap: the views of vascular surgeons in the United Kingdom. | |
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MedLine Citation:
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PMID: 15225947 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Adequate preoperative vascular assessment of the lower limb is essential before harvesting fibular free flaps to prevent ischaemic complications or failure of the flap. The best method of assessment remains controversial. Clinical examination, conventional angiography, colour flow Doppler, and magnetic resonance angiography have all been advocated. We asked 206 UK vascular surgeons for their opinions on preoperative assessment and potential issues of negligence and 85 (42%) completed the questionnaire. All respondents thought that further imaging should be done in addition to clinical examination, most of whom (n = 70) favoured colour flow Doppler (82%). In addition 75 (88%) considered that the surgeon would be judged to be negligent if clinical examination was the only preoperative assessment. In the light of these findings, we suggest that an objective assessment of the vasculature of the leg should be obtained before a fibular flap is harvested. |
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Authors:
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S P Whitley; S Sandhu; A Cardozo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The British journal of oral & maxillofacial surgery Volume: 42 ISSN: 0266-4356 ISO Abbreviation: Br J Oral Maxillofac Surg Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-06-30 Completed Date: 2004-09-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8405235 Medline TA: Br J Oral Maxillofac Surg Country: Scotland |
Other Details:
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Languages: eng Pagination: 307-10 Citation Subset: D; IM |
Affiliation:
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Department of Oral and Maxillofacial Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK. spwhitley@btinternet.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Fibula
/
blood supply*,
transplantation Great Britain Humans Magnetic Resonance Angiography Malpractice Mandible / surgery* Microcirculation Preoperative Care / methods, standards* Questionnaires Surgical Flaps / blood supply* Transplantation, Autologous Ultrasonography, Doppler, Color Vascular Surgical Procedures / standards* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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