| BAJUS, Adam, Tomáš KUBEK, Luboš DRAŽAN, Jiří VESELÝ, Adam NOVÁK, Andrej BERKEŠ and Libor STREIT. Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment. Journal of Plastic, Reconstructive & Aesthetic Surgery. OXFORD: ELSEVIER, 2023, vol. 76, January 2023, p. 105-112. ISSN 1748-6815. Available from: https://dx.doi.org/10.1016/j.bjps.2022.10.022. |
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@article{2258319,
author = {Bajus, Adam and Kubek, Tomáš and Dražan, Luboš and Veselý, Jiří and Novák, Adam and Berkeš, Andrej and Streit, Libor},
article_location = {OXFORD},
article_number = {January 2023},
doi = {http://dx.doi.org/10.1016/j.bjps.2022.10.022},
keywords = {DIEP flap perforator mapping; Learning curve; Color Doppler ultrasound; computed tomographic angiography},
language = {eng},
issn = {1748-6815},
journal = {Journal of Plastic, Reconstructive & Aesthetic Surgery},
title = {Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment},
url = {https://www.sciencedirect.com/science/article/pii/S1748681522005630},
volume = {76},
year = {2023}
}
TY - JOUR
ID - 2258319
AU - Bajus, Adam - Kubek, Tomáš - Dražan, Luboš - Veselý, Jiří - Novák, Adam - Berkeš, Andrej - Streit, Libor
PY - 2023
TI - Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment
JF - Journal of Plastic, Reconstructive & Aesthetic Surgery
VL - 76
IS - January 2023
SP - 105-112
EP - 105-112
PB - ELSEVIER
SN - 17486815
KW - DIEP flap perforator mapping
KW - Learning curve
KW - Color Doppler ultrasound
KW - computed tomographic angiography
UR - https://www.sciencedirect.com/science/article/pii/S1748681522005630
N2 - Background Perforator mapping using diagnostic methods facilitates deep inferior epigastric perforator (DIEP) flap planning. Computed tomographic angiography (CTA) is a well-proven tool for perforator mapping. However, the benefits of color Doppler ultrasonography (CDU) are as follows: 1) CDU involves dynamic real-time examination and 2) does not use radiation. Comparing the accuracies of both methods in a cohort of patients, this study aimed to evaluate the learning curve of surgeon-conducted CDU perforator mapping. Methods Twenty patients undergoing DIEP flap breast reconstruction were enrolled in a cohort study. All patients underwent CTA perforator mapping preoperatively. XY coordinates of significant perforators were subtracted by a radiologist. A single surgeon (sonographer) with minimal experience with CDU performed CDU perforator mapping, including XY coordinates subtraction. The sonographer was blinded to the CTA data. The reference coordinates of dissected perforators were measured during surgery. Deviations from reference coordinates for both methods were compared, and CDU mapping learning curve was assessed using Joinpoint Regression. Results We included 20 women (32 DIEP flaps and 59 dissected perforators). The mean deviation between mapped and reference coordinates was 1.00 (0.50–1.12) cm for CDU and 0.71 (0.50–1.12) cm for CTA. The learning curve of CDU mapping showed the breaking point after the seventh patient (≈ 21 localized perforators). After the breaking point, no significant differences between the deviations of both methods were found (p = 0.980). Conclusion A limited number of examinations were needed for the surgeon to learn CDU DIEA perforator mapping with accuracy similar to that of CTA mapping.
ER -
BAJUS, Adam, Tomáš KUBEK, Luboš DRAŽAN, Jiří VESELÝ, Adam NOVÁK, Andrej BERKEŠ and Libor STREIT. Surgeon-conducted color Doppler ultrasound deep inferior epigastric artery perforator mapping: A cohort study and learning curve assessment. \textit{Journal of Plastic, Reconstructive \&{} Aesthetic Surgery}. OXFORD: ELSEVIER, 2023, vol.~76, January 2023, p.~105-112. ISSN~1748-6815. Available from: https://dx.doi.org/10.1016/j.bjps.2022.10.022.
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