Abstract: 8.10 Bipedicle Flap For Unilateral Autologous Breast Reconstruction Revisited: Evolution And Optimization Of Flap Design Over 15 Years

نویسندگان

  • Edward Chang
  • Steven Kronowitz
چکیده

IntroductIon: Free flap necrosis has a frequent occurrence and results in high morbidity, however there is still no quantitative method to image and measure perfusion during the operation. Optical techniques could be the answer to this problem. These techniques image perfusion directly during surgery and give a high-resolution and high-contrast image comparable to microscopy. In this study we test the feasibility, validity and reproducibility of four optical techniques: Optical Coherence Tomography (OCT), Sidestream Darkfield Microscopy (SDF), Laser Speckle Contrast Imaging (LSCI) and Fluorescence Imaging (FI).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Bipedicle-conjoined perforator flaps in breast reconstruction.

BACKGROUND For some patients seeking autologous breast reconstruction, there may be insufficient abdominal skin and soft tissue to reconstruct an adequately sized breast. Perfusion from a single-pedicle deep inferior epigastric perforator artery flap has a high degree of variability across the midline, and this further limits perfusion. We have found that bipedicle-conjoined abdominal perforato...

متن کامل

The evolution of perforator flap breast reconstruction: twenty years after the first DIEP flap.

It is over 20 years since the inaugural deep inferior epigastric perforator (DIEP) flap breast reconstruction. We review the type of flap utilized and indications in 2,850 microvascular breast reconstruction over the subsequent 20 years in the senior author's practice (Robert J. Allen). Data were extracted from a personal logbook of all microsurgical free flap breast reconstructions performed b...

متن کامل

BREAST RECONSTRUCTION USING TRAM FLAP: PROSPECTIVE OUTCOME AND COMPLICATIONS

 ABSTRACT Background: The transverse rectus abdominis musculocutaneous (TRAM) flap remains the gold standard for postmastectomy reconstruction either immediate or delayed. However, transfer of TRAM flap can be associated with donor site morbidities and complications in flap. A successful reconstruction consists of careful patient selection, surgical technique and meticulous preoperative plannin...

متن کامل

NEW APPLICATION FOR THE BITEMPORAL (VISOR) FLAP IN RECONSTRUCTION OF ADVANCED LOWER LIP CARCINOMA

Background: Lip carcinoma is a common cancer with a good prognosis and when patients refer early in the course of disease the results of treatment are acceptable. Surgical procedures for reconstruction of lip defects are the use of remaining lip tissue, tissue from the opposite lip, adjacent cheek tissue, distant flaps and microvascular free flaps. The bitemporal (visor) flap is a regional...

متن کامل

Using bipedicle abdominal flap to save left forearm and armfollowing a high-voltage electric burn

  Background: Electrical injury is daily compromise of our life and upper and lower extremities   are common sites of injury .   Case Presentation: A 23 years old man who had suffered high voltage electrical injury referred   to our center. He had severe left upper extremity burn and suffered from head and thoracic   injuries due to falling down from high altitude.   Treatment: Fasciotomy of th...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 5  شماره 

صفحات  -

تاریخ انتشار 2017