The consistency of the proximal perforator by using Color Doppler in anterolateral thigh flap.

Abstract

Objectives: The objectives of the study are to determine the consistency of the proximal perforator in terms of its presence and location prospectively using preoperative color doppler and per operative confirmation in patients requiring anterolateral thigh flap. Study Design: Descriptive Case Series. Setting: Department of Plastic Surgery at Jinnah Hospital Lahore. Period: From April 2017 to October 2017. Material & Methods: A total of 60 patients requiring anterolateral thigh flap were recruited for the study. Consistency of the proximal anterolateral thigh flap perforator was labeled if AK/AP ≤ 0.45. Findings were confirmed per operatively. Results: Presence of proximal perforator was consistent in 51 (85%) individuals with mode of 0.42 (AK/AP ratio) ± 0.04cm SD. Similarly per operative presence of the proximal perforator was consistent in 54 (90%) individuals with mode of 0.42 (AK/AP ratio) ± 0.04cm SD. Conclusion: Proximal perforator is highly consistent in its presence and place in our population requiring anterolateral thigh flap.

Diagnostic Accuracy of Peroperative Color Doppler Ultrasonography for Determining the Nature of Anterolateral Thigh Flap Perforators

“…According to research conducted by Husnain Khan, the proximal perforator was consistently present as determined by Doppler in 85 percent of patients, indicating that 85 percent of patients have an AP over AK ratio of less than 0.45. 24 It is higher than 64% and 49% discovered by Kamita et al 26 and Yu et al, 27 respectively. When Khan H 24 compared gender to the consistent presence of the proximal perforator by Doppler, he found that there was no significant difference, indicating that Doppler is effective in ruling out the effect of gender.…”