| A survey of preoperative perforator mapping in perforator flap surgery | |
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MedLine Citation:
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PMID: 19711255 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The frequency of perforator flap surgery is increasing. As such, the claim to identify and localize the perforators is closely related to preoperative perforator imaging. Starting with Doppler sonography magnetic resonance imaging (MRI) followed early in the 90s. Recently, three- and four-dimensional computer tomographic angiography and venography present impressive preoperative illustrations of perforators. HYPOTHESIS: Duplex ultrasound dominates in clinical practice for perforator imaging. METHODS: We performed a survey using a multiple choice questionnaire which was distributed among consultants of the German plastic surgery society (DGPRAC). Response rate was 46% with 132 institutions responding. RESULTS: Preoperative perforator imaging is applied in 77%. Duplex sonography is predominant with 70%, followed by colour Doppler ultrasound (42%). CT angiography (7%) and MRI angiography (8%) are currently underutilized. The amount of perforator flaps performed did not favor any preoperative perforator diagnostic. However, among those performing more than 30 perforator flaps per year, only 2% did not perform any perforator diagnostic at all. CONCLUSION: Preoperative perforator imaging is applied in 3/4 of all perforator flaps with duplex ultrasound dominating. Angio-CT and Angio-MRI are currently infrequently used for preoperative perforator imaging in Germany to date. |
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Authors:
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K Knobloch; E Reuss; A Gohritz; J Redeker; P M Vogt |
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Publication Detail:
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Type: Comparative Study; English Abstract; Journal Article Date: 2009-08-26 |
Journal Detail:
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Title: Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft f?r Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft f?r Mikrochirurgie der Peripheren Nerven und Gef?sse : Organ der Vereinigung der Deutschen Plastischen Chirurgen Volume: 41 ISSN: 1439-3980 ISO Abbreviation: Handchir Mikrochir Plast Chir Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-21 Completed Date: 2010-03-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8302815 Medline TA: Handchir Mikrochir Plast Chir Country: Germany |
Other Details:
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Languages: ger Pagination: 322-6 Citation Subset: IM |
Affiliation:
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Medizinische Hochschule Hannover, Klinik f?r Plastische, Hand- und Wiederherstellungschirurgie, Hannover. knobloch.karsten@mh-hannover.de |
Vernacular Title:
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Umfrage zu Methoden der pr?operativen Lokalisation von Perforans-Gef?ssen zur erleichterten Planung von Perforans-Lappenplastiken. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angiography
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utilization Data Collection Diagnostic Imaging / utilization* Humans Magnetic Resonance Angiography / utilization Microsurgery / methods* Preoperative Care Questionnaires Reconstructive Surgical Procedures / statistics & numerical data Sensitivity and Specificity Societies, Medical Surgical Flaps / blood supply* Tomography, X-Ray Computed / utilization Ultrasonography, Doppler, Color / utilization Utilization Review / statistics & numerical data |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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