The safe" flap - Preoperative perforator-mapping and intraoperative perfusion assessment to reduce flap-associated morbidity Consensus statement of the German Speaking Working Group for Microsurgery of the Peripheral Nerves and Vessels

被引：17

作者：

Schmauss, D. ^{[1
,2
]}

Beier, J. P. ^{[3
]}

Eisenhardt, S. U. ^{[4
]}

Horch, R. E. ^{[5
]}

Momeni, A. ^{[6
]}

Rab, M. ^{[7
]}

Rieck, B. ^{[8
]}

Rieger, U. ^{[9
]}

Schaefer, D. J. ^{[10
]}

Schmidt, V. J. ^{[11
]}

Kneser, U. ^{[11
]}

机构：

[1] Ente Osped Cantonale, Osped Reg Lugano, Klin Plast Rekonstrukt & Asthet Chirurg, Lugano, Switzerland

[2] Tech Univ Munich, Klinikum Rechts Isar, Klin Plast Chirurg & Handchirurg, Munich, Germany

[3] Univ Klin RWTH Aachen, Klin Plast Chirurg Hand & Verbrennungschirurg, Aachen, Germany

[4] Univ Klinikum Freiburg, Med Fak, Klin Plast & Handchirurg, Freiburg, Germany

[5] Friedrich Alexander Univ Erlangen Nurnberg FAU, Univ Klinikum Erlangen, Plast & Handchirurg Klin, Erlangen, Germany

[6] Stanford Univ, Med Ctr, Div Plast & Reconstruct Surg, Stanford, CA 94305 USA

[7] Klinikum Klagenfurt, Abt Plast Asthet & Rekonstrukt Chirurg, Klagenfurt, Austria

[8] Helios Klinikum Hildesheim, Klin Plast Asthet & Handchirurg, Hildesheim, Germany

[9] Agaplesion Markus Krankenhaus Frankfurt, Klin Plast & Asthet Chirurg Wiederherstellungs &, Frankfurt, Germany

[10] Univ Spital Basel, Klin Plast Rekonstrukt Asthet & Handchirurg, Basel, Switzerland

[11] Heidelberg Univ, BG Klin Ludwigshafen, Klin Hand Plast & Rekonstrukt Chirurg, Schwerbrandverletztenzentrum,Klin Hand Plast & Re, Heidelberg, Germany

来源：

HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE | 2019年 / 51卷 / 06期

关键词：

Microsurgery; free flap grafts; pedicled flap grafts; perforator flap grafts; imaging procedures; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; LASER-DOPPLER SPECTROPHOTOMETRY; MAGNETIC-RESONANCE ANGIOGRAPHY; BREAST RECONSTRUCTION; FLUORESCENCE ANGIOGRAPHY; DECISION-MAKING; DIEP; SONOGRAPHY; LOCALIZATION; ULTRASOUND;

D O I：

10.1055/a-0987-0118

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Reconstructive microsurgery using free and pedicled flaps has become a reliable method with a high success rate. Preoperative perforator mapping and intraoperative assessment of perfusion might further reduce flap-associated morbidity. There are various techniques for perforator mapping and perfusion measurement, but no guidelines regarding their use. Therefore, an expert panel at the 40th Annual Meeting of the German-Speaking Working Group for Microsurgery of the Peripheral Nerves and Vessels (DAM) discussed and critically reviewed the current literature. The consensus statement represents the expert opinion based on the available literature and provides recommendations regarding the use of preoperative perforator mapping and intraoperative perfusion measurement.

引用

页码：410 / 417

页数：8

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