Show simple item record

dc.contributor.authorTo, Cynthia
dc.contributor.authorShore, Angela
dc.contributor.authorWilson, Andrew D.
dc.date.accessioned2019-03-07T15:46:34Z
dc.date.available2019-03-07T15:46:34Z
dc.date.issued2019-02
dc.identifier.citationTo, C [et al]. Intraoperative Tissue Perfusion Measurement by Laser Speckle Imaging: A Potential Aid for Reducing Postoperative Complications in Free Flap Breast Reconstruction. 2019 Plastic and Reconstructive Surgery. 143(2):287e–292een_US
dc.identifier.pmid30688880
dc.identifier.doi10.1097/PRS.0000000000005223
dc.identifier.urihttps://rde.dspace-express.com/handle/11287/620959
dc.description.abstractAdequate tissue perfusion is essential to minimize postoperative complications following microsurgery. Intraoperative knowledge of tissue perfusion could aid surgical decision-making and result in reduced complications. Laser speckle imaging is a new, noninvasive technique for mapping tissue perfusion. This article discusses the feasibility of using laser speckle imaging during free flap breast reconstruction and its potential to identify areas of inadequate perfusion, thus reducing surgical complications. Adult patients scheduled to undergo free flap breast reconstruction were recruited into the study. Laser speckle images were obtained from the abdominal and breast areas at different stages intraoperatively. Zonal perfusion was compared with the Holm classification and clinical observations. Twenty patients scheduled to undergo free flap breast reconstruction were recruited (23 reconstructed breasts) (mean age, 50 years; range, 32 to 68 years). Flap zonal perfusion was 238 (187 to 313), 222 (120 to 265), 206 (120 to 265), and 125 (102 to 220) perfusion units for zones I, II, III, and IV, respectively (analysis of variance, p < 0.0001). Zonal area with perfusion below an arbitrary perfusion threshold were 20 (0.3 to 75), 41 (3 to 99), 49 (9 to 97), and 99 (25 to 100) percent, respectively (analysis of variance, p < 0.0001). One example is presented to illustrate potential intraoperative uses for laser speckle imaging. This study shows that laser speckle imaging is a feasible, noninvasive technique for intraoperative mapping of tissue perfusion during free flap breast reconstruction. Zonal tissue perfusion was reduced across the Holm classification. Observations indicated the potential for laser speckle imaging to provide additional information to augment surgical decision-making by detection of inadequate tissue perfusion. This highlights the opportunity for surgeons to consider additional aids for intraoperative tissue perfusion assessment to help reduce perfusion-related complications. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Diagnostic, IV.en_US
dc.language.isoenen_US
dc.publisherWolters Kluweren_US
dc.relation.urlhttp://insights.ovid.com/pubmed?pmid=30688880en_US
dc.rightsArchived with thanks to Plastic & Reconstructive Surgeryen_US
dc.subjectWessex Classification Subject Headings::Surgery::Plastic surgeryen_US
dc.subjectWessex Classification Subject Headings::Endocrinologyen_US
dc.titleIntraoperative Tissue Perfusion Measurement by Laser Speckle Imaging: A Potential Aid for Reducing Postoperative Complications in Free Flap Breast Reconstructionen_US
dc.typeJournal Articleen_US
dc.identifier.journalPlastic & Reconstructive Surgeryen_US
dc.type.versionPublisheden_US
dc.description.admin-noteAccepted manuscript, 12 month embargo CC-BY-NC licenceen_US


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record