Abstract: Perfusion Assessment of the Deep Inferior Epigastric Artery Perforator Flap: A Blood Gas Analysis
نویسندگان
چکیده
ConClusion: We present a validated risk stratification tool for predicting 30-day SSM following reduction mammoplasty using data that are readily available to the clinician. This may allow targeted screening and intervention in high-risk patients, better counseling, selective resident participation, and ultimately decrease overall health-care costs. This is the first study to date that provides a well-defined risk assessment tool to improve outcomes in reduction mammoplasty patients. Future studies should determine if implementation of our SSM risk score optimizes safety and reduces morbidity rates after reduction mammoplasty.
منابع مشابه
A combined anatomical and clinical study for quantitative analysis of the microcirculation in the classic perfusion zones of the deep inferior epigastric artery perforator flap.
BACKGROUND The establishment of the perfusion zones for the deep inferior epigastric artery perforator (DIEP) flap is still under debate. Specifically, differences between clinical and anatomical studies have often been described. The purpose of this combined study was to evaluate the characteristics of a DIEP zoning in both clinical and anatomical settings by quantitatively assessing the perfu...
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BACKGROUND The effect of liposuction on the perforators of the lower abdominal wall has been investigated in several studies. There are controversial results in the literature that have primarily demonstrated the number and patency of the perforators. The aim of this study was to determine the effect of liposuction on the perfusion of perforator-based abdominal flaps using a combined laser-Dopp...
متن کاملCASE REPORT Case Report and Review of the Literature: Deep Inferior Epigastric Perforator Flap for Breast Reconstruction After Abdominal Recontouring
OBJECTIVE The report herein presents a case of a 49-year-old woman with left breast cancer who presented seeking immediate autologous reconstruction. Surgical history included an abdominal hysterectomy and an abdominal contouring procedure. This is a first description of a deep inferior epigastric perforator flap after abdominal wall manipulation of this magnitude. METHODS Computed tomographi...
متن کاملEnhanced Preoperative Deep Inferior Epigastric Artery Perforator Flap Planning with a 3D-Printed Perforasome Template: Technique and Case Report
Optimizing preoperative planning is widely sought in deep inferior epigastric artery perforator (DIEP) flap surgery. One reason for this is that rates of fat necrosis remain relatively high (up to 35%), and that adjusting flap design by an improved understanding of individual perforasomes and perfusion characteristics may be useful in reducing the risk of fat necrosis. Imaging techniques have s...
متن کاملMicrocirculatory Evaluation of the Abdominal Skin in Breast Reconstruction with Deep Inferior Epigastric Artery Perforator Flap
UNLABELLED No studies have assessed the perfusion of the undermined abdominal skin in breast reconstruction with deep inferior epigastric artery perforator flap. A greater understanding of the procedure's impact on the perfusion of the abdominal skin can be valuable in predicting areas susceptible to necrosis. METHODS Microcirculatory changes were monitored in the abdominal skin of 20 consecu...
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عنوان ژورنال:
دوره 4 شماره
صفحات -
تاریخ انتشار 2016