Journal article
A prospective study using color flow duplex ultrasonography for abdominal perforator mapping in microvascular breast reconstruction
Medical science monitor, Vol.16(8), pp.MT65-MT70
01/01/2010
PMID: 20671620
Abstract
Background: Abdominally based perforator free flaps are commonly used in reconstructive breast surgery. Preoperative assessment using a variety of imaging techniques has become increasingly popular to assess the anatomy of the abdominal perforators. We hypothesize that color flow duplex ultrasonography is a reliable method for mapping the abdominal perforator anatomy and avoids the complications associated with other methods.
Material/Methods: A prospective study of 40 consecutive patients was performed. Pre-operative color flow duplex ultrasound evaluation was compared to intra-operative findings of the dominant epigastric perforator selected at the time of flap harvest.
Results: Forty consecutive patients were evaluated prospectively. Forty six flaps were harvested from these patients (6 bilateral cases). A single perforator which was identified by both pre-operatively and at the time of intra-operative flap harvest as the dominant perforator was identified in 36 of 46 flaps (78.3%). The intra-operative perforator chosen at the time of flap harvest was identified as one of the pre-operative perforators marked by duplex ultrasonography in 45 or 46 patients (97.8%).
Conclusions: Pre-operative duplex ultrasonography is a safe and reliable tool for assessing the abdominal epigastric perforators used in autologous microvascular breast reconstruction. Advantages of this technique are: it is non-invasive, it does not require contrast agent application, no radiation, and it is inexpensive when compared to other imaging modalities.
Details
- Title: Subtitle
- A prospective study using color flow duplex ultrasonography for abdominal perforator mapping in microvascular breast reconstruction
- Creators
- Katrin Seidenstucker - Univ Dusseldorf, SANA Hosp Dusseldorf, Dept Plast & Aesthet Surg, Interdisciplinary Breast Ctr, Dusseldorf, GermanyBeatrix Munder - Univ Dusseldorf, SANA Hosp Dusseldorf, Dept Plast & Aesthet Surg, Interdisciplinary Breast Ctr, Dusseldorf, GermanyPhilipp Richrath - Univ Dusseldorf, SANA Hosp Dusseldorf, Dept Plast & Aesthet Surg, Interdisciplinary Breast Ctr, Dusseldorf, GermanyConrad Rybacki - Univ Hosp Dusseldorf, Dept Radiol, Dusseldorf, GermanyRaymund E. Horch - Univ Erlangen Nurnberg, Univ Hosp Erlangen, Dept Plast & Hand Surg, D-8520 Erlangen, GermanyJustus P. Beier - Univ Erlangen Nurnberg, Univ Hosp Erlangen, Dept Plast & Hand Surg, D-8520 Erlangen, GermanyBrian T. Andrews - Harvard UniversityChristoph Andree - Univ Dusseldorf, SANA Hosp Dusseldorf, Dept Plast & Aesthet Surg, Interdisciplinary Breast Ctr, Dusseldorf, Germany
- Resource Type
- Journal article
- Publication Details
- Medical science monitor, Vol.16(8), pp.MT65-MT70
- PMID
- 20671620
- NLM abbreviation
- Med Sci Monit
- ISSN
- 1643-3750
- eISSN
- 1643-3750
- Publisher
- Int Scientific Information, Inc
- Number of pages
- 6
- Language
- English
- Date published
- 01/01/2010
- Academic Unit
- Craniofacial Anomalies Research Center; Neurosurgery; Otolaryngology
- Record Identifier
- 9984366379902771
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