Tridimensional doppler assessment: a reliable, non-invasive and
cost-effective method for preoperative perforator assessment in
diep flap

J 2016

Tridimensional doppler assessment: a reliable, non-invasive and cost-effective method for preoperative perforator assessment in diep flap

DRAŽAN, Luboš a G.A.G. LOMBARDO

Základní údaje

Originální název

Tridimensional doppler assessment: a reliable, non-invasive and cost-effective method for preoperative perforator assessment in diep flap

Autoři

DRAŽAN, Luboš (203 Česká republika, garant, domácí) a G.A.G. LOMBARDO (380 Itálie)

Vydání

Acta chirurgiae plasticae, Praha, Česká lékařská společnost J.E.Purkyně, 2016, 0001-5423

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/16:00093334

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Perforator flap; DIEP; ultrasonography Doppler; preoperative perforator detection; autologous breast reconstruction

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 1. 2. 2017 12:24, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Background. The preoperative perforator mapping is an important step in autologous breast reconstruction, making the flap raising safer, more predictable and time-saving. Although the Doppler exam has proven to be less accurate in locating perforators compared with colour duplex sonography and CTA, it will probably remain of importance in clinical practice. The aim of this paper is to share some advices on how to perform a Doppler exam in preoperative evaluation of a DIEAp flap, increasing its reliability in location of the perforators. Methods: The study was carried-out preoperatively on 26 consecutive patients. For the evaluation of the matching between Doppler Dot and operative finding was used a Cartesian coordinate system Results: We have marked preoperatively 145 perforators in 26 patients for a total of 52 semi-abdomens. An average of 5.6 vessels per patient were marked. Of these, 80 (55.17%) were found between 0–1 cm, 36 (24.82%) between 1–2 cm and 5 (3.4%) of these more than 2 cm from each other. We had 24 (16.55%) false positives in which there was no correspondence between the signal and the intraoperative finding. Conclusion: Although the Doppler exam may not provide the same anatomic details as the other newer modalities, such as CTA and MRA, the HHD remains a very useful and important tool for autologous reconstruction. We recommend performing this exam in our standardized and reproducible method to improve the reliability.

Citovat

DRAŽAN, Luboš a G.A.G. LOMBARDO. Tridimensional doppler assessment: a reliable, non-invasive and cost-effective method for preoperative perforator assessment in diep flap. Acta chirurgiae plasticae. Praha: Česká lékařská společnost J.E.Purkyně, 2016, roč. 58, č. 2, s. 60-63. ISSN 0001-5423.

@article{1371039,
   author = {Dražan, Luboš and Lombardo, G.A.G.},
   article_location = {Praha},
   article_number = {2},
   keywords = {Perforator flap; DIEP; ultrasonography Doppler; preoperative perforator detection; autologous breast reconstruction},
   language = {eng},
   issn = {0001-5423},
   journal = {Acta chirurgiae plasticae},
   title = {Tridimensional doppler assessment: a reliable, non-invasive and cost-effective method for preoperative perforator assessment in diep flap},
   volume = {58},
   year = {2016}
}

TY  - JOUR
ID  - 1371039
AU  - Dražan, Luboš - Lombardo, G.A.G.
PY  - 2016
TI  - Tridimensional doppler assessment: a reliable, non-invasive and cost-effective method for preoperative perforator assessment in diep flap
JF  - Acta chirurgiae plasticae
VL  - 58
IS  - 2
SP  - 60-63
EP  - 60-63
PB  - Česká lékařská společnost J.E.Purkyně
SN  - 00015423
KW  - Perforator flap
KW  - DIEP
KW  - ultrasonography Doppler
KW  - preoperative perforator detection
KW  - autologous breast reconstruction
N2  - Background. The preoperative perforator mapping is an important step in autologous breast reconstruction, making the flap raising safer, more predictable and time-saving. Although the Doppler exam has proven to be less accurate in locating perforators compared with colour duplex sonography and CTA, it will probably remain of importance in clinical practice. The aim of this paper is to share some advices on how to perform a Doppler exam in preoperative evaluation of a DIEAp flap, increasing its reliability in location of the perforators. Methods: The study was carried-out preoperatively on 26 consecutive patients. For the evaluation of the matching between Doppler Dot and operative finding was used a Cartesian coordinate system Results: We have marked preoperatively 145 perforators in 26 patients for a total of 52 semi-abdomens. An average of 5.6 vessels per patient were marked. Of these, 80 (55.17%) were found between 0–1 cm, 36 (24.82%) between 1–2 cm and 5 (3.4%) of these more than 2 cm from each other. We had 24 (16.55%) false positives in which there was no correspondence between the signal and the intraoperative finding. Conclusion: Although the Doppler exam may not provide the same anatomic details as the other newer modalities, such as CTA and MRA, the HHD remains a very useful and important tool for autologous reconstruction. We recommend performing this exam in our standardized and reproducible method to improve the reliability.
ER  -

DRAŽAN, Luboš a G.A.G. LOMBARDO. Tridimensional doppler assessment: a reliable, non-invasive and cost-effective method for preoperative perforator assessment in diep flap. \textit{Acta chirurgiae plasticae}. Praha: Česká lékařská společnost J.E.Purkyně, 2016, roč.~58, č.~2, s.~60-63. ISSN~0001-5423.

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