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DOI: 10.1055/s-2003-42495
Retrospective Review of the Internal Doppler Probe for Intra- and Postoperative Microvascular Surveillance
Publikationsverlauf
Publikationsdatum:
24. September 2003 (online)
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ABSTRACT
The purpose of this review was to evaluate the utility of the 20 MHz microvascular implantable Doppler probe for free-tissue transfer, both intra- and postoperatively. Over a 15-month period, the Doppler probe was used in a total of 260 anastomoses, including 118 arterial and 142 venous microanastamoses. In these 260 anastomoses, there were six false positive results and eight true positives, resulting in one flap loss. The free flap success rate was 99 percent, the re-exploration rate was 8 percent, and the salvage rate was 83 percent. The internal Doppler offers an easy and reliable way to monitor microvascular free-tissue transfer both intra- and postoperatively. This study demonstrates the continued increase in survival, as well as salvage, of free-tissue transfer.
KEYWORDS
Internal Doppler probe - free tisue transfers - intra- and postoperative
REFERENCES
- 1 Jones B M. Monitors for the cutaneous microcirculation. Plast Reconstr Surg . 1984; 73 843-850
- 2 Hirigoyen M B, Urken M L, Weinberg H. Free flap monitoring: a review of current practice. Microsurgery . 1995; 16 723-726
- 3 Disa J J, Cordiero P G, Hidalgo D A. Efficacy of conventional monitoring techniques in free tissue transfer: an 11-year experience in 750 consecutive cases. Plast Reconstr Surg . 1999; 104 97-101
- 4 Swartz W M, Jones N F, Cherup L, Klein A. Direct monitoring of the microvascular anastamosis with the 20-MHz ultrasonic Doppler probe: an experimental and clinical study. Plast Reconstr Surg . 1988; 81 149-158
- 5 Parker P M, Fischer J C, Shaw W W. Implantable pulsed Doppler cuff for long-term monitoring of free flaps: a preliminary study. Microsurgery . 1984; 5 130-135
- 6 Shaw W W. Micovascular free flaps: survival, donor sites and applications. In: Buncke HJ and Furnas DW (eds), Symposium on Clinical Frontiers in Reconstructive Microsurgery St. Louis: Mosby; 1984
- 7 Khouri R. Avoiding free flap failure. Clin Plast Surg . 1994; 93 773-781
- 8 Irons G B, Wood M B, Schmitt III H E. Experience with one hundred consecutive free flaps. Ann Plast Surg . 1987; 18 17-23
- 9 Kind G M, Buntic R F, Buncke G M. The effects of an implantable Doppler probe on the salvage of microvascular tissue transfers. Plast Reconstr Surg . 1996; 101 1268-1273
- 10 Khouri R K. Avoiding free flap failure. Clin Plast Surg . 1992; 19 773-781
- 11 Shaw W W. Discussion. Direct monitoring of the microvascular anastamosis with the 20-MHz ultrasonic Doppler probe: an experimental and clinical study. Plast Reconstr Surg . 1988; 81 159-161