A study of perfusion of the distal free-TRAM flap using laser Doppler flowmetry.

D.I. Booi, I.B. Debats, W.D. Boeckx, R.R.W.J. van der Hulst

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    Abstract

    The aim of this study was to characterise microcirculatory changes in the distal part of a flap and to evaluate whether measurement of the microcirculation may predict flap complications (FC). In this prospective study, 30 patients undergoing a delayed breast reconstruction were included. Perioperative data were recorded and with the laser Doppler flowmetry (LDF; Perimed((R))) blood flow was recorded in the central part (zone I) and the distal part (zone IV) of the flap. A lower blood flow was observed in zone IV of patients with flap complications compared to patients without flap complications (P=0.013). In addition, LDF demonstrated different flow trends in zone I compared to zone IV indicating a delayed opening of the choke vessels connecting the angiosomes in the distal part of the flap. The LDF has proven to be a useful investigative tool to monitor microcirculatory changes. In future studies it will be used to evaluate interventions aimed at decreasing distal ischaemia and reducing flap complications.
    Original languageEnglish
    Pages (from-to)282-288
    JournalJournal of Plastic Reconstructive and Aesthetic Surgery
    Volume61
    Issue number3
    DOIs
    Publication statusPublished - 1 Jan 2008

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