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Short reports and correspondence| Volume 60, ISSUE 12, P1365-1368, December 2007

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Intraoperative selection of dominant perforator vessel in DIEP free flaps based on perfusion strength using digital infrared thermography – a pilot study

Published:August 10, 2007DOI:https://doi.org/10.1016/j.bjps.2007.02.032
      Free flaps are commonly used in plastic and reconstructive surgery. Up to 10% of free flaps may need to be re-explored often as a result of vessel thrombosis.
      • Khouri R.K.
      • Cooley B.C.
      • Kunselman A.R.
      • et al.
      A prospective study of microvascular free-flap surgery and outcome.
      • Kersh R.A.
      • Handren J.
      • Hergrueter C.
      • et al.
      Microvascular surgical experimental thrombosis model: rationale and design.
      In a recent multi-centre free flap outcome study of 493 free flaps a re-exploration rate of 9.9% was reported.
      • Khouri R.K.
      • Cooley B.C.
      • Kunselman A.R.
      • et al.
      A prospective study of microvascular free-flap surgery and outcome.
      The overall flap failure rate was 4.4%.
      • Khouri R.K.
      • Cooley B.C.
      • Kunselman A.R.
      • et al.
      A prospective study of microvascular free-flap surgery and outcome.
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      References

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        • Cooley B.C.
        • Kunselman A.R.
        • et al.
        A prospective study of microvascular free-flap surgery and outcome.
        Plast Reconstr Surg. 2000; 105: 2279-2280
        • Kersh R.A.
        • Handren J.
        • Hergrueter C.
        • et al.
        Microvascular surgical experimental thrombosis model: rationale and design.
        Plast Reconstr Surg. 1989; 83: 866
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        Thermographic mapping of perforators and skin blood flow in the free transverse rectus abdominis musculocutaneous flap.
        Ann Plast Surg. 1995; 35: 159-164
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        • Strandness Jr., D.E.
        Color flow duplex scanning in the preoperative assessment of TRAM flap perforators: a report of 32 consecutive patients.
        Plast Reconstr Surg. 1994; 93: 453-459
        • Adams F.
        The Genuine works of Hippocrates.
        William and Wilkins, Baltimore1939