Detecting flap compromise: an updated review of techniques to monitor microsurgical flaps postoperatively in breast reconstruction

被引：1

作者：

Cevallos, Priscila C. ^{[1
,4
]}

Najafali, Daniel ^{[1
,3
]}

Johnstone, Thomas M. ^{[1
]}

Borrelli, Mimi R. ^{[1
,2
]}

Manrique, Oscar J. ^{[5
]}

Lee, Gordon K. ^{[1
]}

Nazerali, Rahim S. ^{[1
,6
]}

机构：

[1] Stanford Univ, Sch Med, Dept Surg, Div Plast & Reconstruct Surg, Palo Alto, CA 94304 USA

[2] Brown Univ, Warren Alpert Med Sch, Dept Surg, Div Plast & Reconstruct Surg, Providence, RI 02903 USA

[3] Univ Illinois, Carle Illinois Coll Med, Urbana, IL 61801 USA

[4] Dartmouth Coll, Geisel Sch Med, Hanover, NH 03755 USA

[5] Univ Rochester, Strong Mem Hosp, Dept Surg, Div Plast & Reconstruct Surg,Med Ctr, Rochester, NY 14642 USA

[6] Stanford Univ, Sch Med, Div Plast & Reconstruct Surg, 770 Welch Rd,Suite 400, Palo Alto, CA 94304 USA

来源：

PLASTIC AND AESTHETIC RESEARCH | 2023年 / 10卷

关键词：

Flap monitoring; flap salvage; peri-operative monitoring; post-operative monitoring; TISSUE OXYGEN-TENSION; LASER-DOPPLER FLOWMETRY; IMPLANTABLE DOPPLER; BLOOD-FLOW; FLUORESCENCE ANGIOGRAPHY; EXTERNAL DOPPLER; GLUCOSE; PERFUSION; OXIMETRY; SALVAGE;

D O I：

10.20517/2347-9264.2023.01

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Breast reconstructive surgery utilizing free tissue transfer has revolutionized the restoration of aesthetic and functional outcomes for patients. Even for the most routine free flap procedures, substantial hospital resources and costs are necessary. The effectiveness of free flap surgery, along with any reconstructive procedure, hinges upon meticulous patient selection, thorough pre -operative planning, well-informed peri-operative decision -making, and diligent post -operative monitoring and care for the patient. This article presents a review of standard clinical care monitoring techniques during the post -operative period, as well as the diverse strategies currently employed for post -operative flap monitoring.

引用

页数：17

共 140 条

[1] Controversies in free tissue transfer for head and neck cancer: A review of the literature [J].