| A study of perfusion of the distal free-TRAM flap using laser Doppler flowmetry. | |
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MedLine Citation:
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PMID: 18037360 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study was to characterise microcirculatory changes in the distal part of a flap and to evaluate whether measurement of the microcirculation may predict flap complications (FC). In this prospective study, 30 patients undergoing a delayed breast reconstruction were included. Perioperative data were recorded and with the laser Doppler flowmetry (LDF; Perimed) blood flow was recorded in the central part (zone I) and the distal part (zone IV) of the flap. A lower blood flow was observed in zone IV of patients with flap complications compared to patients without flap complications (P=0.013). In addition, LDF demonstrated different flow trends in zone I compared to zone IV indicating a delayed opening of the choke vessels connecting the angiosomes in the distal part of the flap. The LDF has proven to be a useful investigative tool to monitor microcirculatory changes. In future studies it will be used to evaluate interventions aimed at decreasing distal ischaemia and reducing flap complications. |
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Authors:
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Darren I Booi; Iris B J G Debats; Willy D Boeckx; Rene R W J van der Hulst |
Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2007-11-26 |
Journal Detail:
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Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 61 ISSN: 1748-6815 ISO Abbreviation: - Publication Date: 2008 |
Date Detail:
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Created Date: 2008-02-12 Completed Date: 2008-04-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 282-8 Citation Subset: IM |
Affiliation:
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Maastricht University Hospital, Department of Plastic, Reconstructive and Hand Surgery, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands. darrenbooi@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Ischemia / diagnosis Laser-Doppler Flowmetry / methods Mammaplasty / methods* Microcirculation Middle Aged Perioperative Care / methods Postoperative Complications / diagnosis Prognosis Prospective Studies Regional Blood Flow Risk Factors Skin Temperature Surgical Flaps / blood supply* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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