Maximizing the Use of the Handheld Doppler in Autologous Breast Reconstruction

Nahabedian, Maurice Y.; Patel, Ketan M.

doi:10.1016/j.cps.2011.03.006

Cited by 17 publications

(9 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14 Six articles were reviews (n ¼ 6). 16,17,[19][20][21][22] Three studies did not have a comparison group (n ¼ 3). [23][24][25] Two articles were excluded because they used the same data as another article (n ¼ 2).…”

Section: Article Selectionmentioning

confidence: 99%

Impact of Preoperative Computed Tomography Angiogram on Abdominal Flap Breast Reconstruction Outcomes: A Systematic Review

Mossa-Basha

Lee

2017

J reconstr Microsurg

View full text Add to dashboard Cite

CT angiogram (CTA) is widely believed to improve operative time and flap outcomes for perforator flap breast reconstruction, but the quality of the evidence is not known. We conducted a systematic review of the efficacy of preoperative CTA for abdominal perforator flap breast reconstruction. Inclusion criteria included published articles in English, CTA group, and control group, between 2000 and March 2013. Medline and PubMed were queried. Study quality criteria were developed based on standards of internal and external validity. One reviewer screened titles and abstracts. Two authors independently reviewed the full-text articles. Outcomes of interest were operative time and flap outcomes. Ten publications met inclusion criteria. Study designs included retrospective or mixed prospective-retrospective cohorts. In every study, the control group time period preceded the CTA group time period and no studies adjusted for improved surgical skill (i.e., learning curve effect). Sample sizes ranged from 41 to 357. Five studies did not perform or provide statistical analysis for the results presented. The mean quality rating was 2.8 (out of a maximum of 7). Seven of 10 studies found a shorter operative time with CTA. Two of nine studies found fewer partial flap failures with CTA. CTA is associated with shorter operative time, but some of this may be due to a learning curve effect. The evidence does not show a difference in flap outcomes. The evidence in support of preoperative CTA is limited and subject to bias due to study design.

show abstract

Section: Article Selectionmentioning

confidence: 99%

Impact of Preoperative Computed Tomography Angiogram on Abdominal Flap Breast Reconstruction Outcomes: A Systematic Review

Mossa-Basha

Lee

2017

J reconstr Microsurg

View full text Add to dashboard Cite

show abstract

“…They advise directing the device perpendicularly to each perforator being assessed. 3 The criticism to performing the Doppler examination in this manner is that a tridimensional structure such as the skin is commutated in a flat geometric figure, like a square. The single-direction probe application can be valid only in a few cases, where the vessel is exactly perpendicular to the surface of the skin; in many cases, however, the direction of the vessel is not straight, especially when the skin and the subcutaneous tissue are thicker (e.g., in the abdomen).…”

Section: The Tridimensional Doppler Method: a Guide To Increase The A...mentioning

confidence: 99%

The Tridimensional Doppler Method: A Guide to Increase the Accuracy of the Doppler Examination for Preoperative Perforator Assessment

Lombardo¹,

Tamburino²,

Martino³

et al. 2021

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

“…The perforator signal is differentiated from that the deeper vessel by doing the same manoeuvre as described above and also by the perforator compression test. [1] In this test, when we apply pressure over the perforator, the acoustic signal from the perforator will decrease whereas the signal from the deeper vessel will persist. All dissections are performed using a 4.5× operating loupes.…”

Section: Methodsmentioning

confidence: 99%

Anthropomorphic and perforator analysis of anterolateral thigh flap in Indian population

Seetharaman¹,

Yadav²,

Shankhdhar³

et al. 2013

Indian J Plast Surg

View full text Add to dashboard Cite

Background:Anterolateral thigh (ALT) flap is one of the most common flaps in the reconstruction armamentarium of plastic surgeons, but there is no published data about the flap characteristics in the Indian population. The aim of this study is to analyse the anthropomorphic characteristics of the ALT flap and the perforator details in Indian population.Materials and Methods:ALT flap details were studied in 65 patients of Indian origin comprising 45 males and 20 females. The study period is from August 2011 to July 2012. A prospective database of the Doppler findings, perforator and pedicle details and the flap morphology were maintained. The variables are analysed by using the SPSS, PASW statistics 18 software IBM®.Results:In nearly 75% of cases, the perforator was found within 4 cm of the pre-operative Doppler markings. The percentage of musculocutaneous and septocutaneous perforators was 61.8% and 38.2% respectively. The pedicle variation was found in 6 cases (9.23%). The average thickness of the thigh skin in Indians is similar to the western people, but thicker than the other Asian people. Flap thinning was performed in nine patients without any major complications.Conclusion:The perforator details and type in the Indian population are similar to the published reports from other parts of the world. We advise pre-operative Doppler examination in possible cases. The variation in pedicle anatomy should not be overlooked to avoid complications. The thickness of subcutaneous tissue of the flap is higher in Indians, but still can be safely thinned. The data of this study will serve as a guide for the ALT flap characteristics in Indian patients.

show abstract

Maximizing the Use of the Handheld Doppler in Autologous Breast Reconstruction

Cited by 17 publications

References 28 publications

Impact of Preoperative Computed Tomography Angiogram on Abdominal Flap Breast Reconstruction Outcomes: A Systematic Review

Impact of Preoperative Computed Tomography Angiogram on Abdominal Flap Breast Reconstruction Outcomes: A Systematic Review

The Tridimensional Doppler Method: A Guide to Increase the Accuracy of the Doppler Examination for Preoperative Perforator Assessment

Anthropomorphic and perforator analysis of anterolateral thigh flap in Indian population

Contact Info

Product

Resources

About