The unipedicled transverse rectus abdominis musculocutaneous (TRAM) flap is a well-known technique for breast reconstruction. However, it is clinically difficult to evaluate the blood perfusion of the flap in the operating room. A new technique of blood supply evaluation, employing indocyanine green dye (ICG) fluorescence videoangiography has been performed in 10 cases of unipedicled TRAM flap breast reconstruction. In our series, the ICG measurement was demonstrated to be a safe, quick, and accurate technique of flap perfusion analysis. We confirmed the presence of individual pattern ("perfusion map") of the flap perfusion, zone II sometimes not being as well perfused as zone III. In this paper, we present our descriptive findings, and the ICG analysis seems to have a predictive value of unipedicled TRAM flap viability.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/01.sap.0000116284.51679.ea | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Current Practices and Evidence of Aspirin Usage in Microvascular Surgery: A Systematic Review and Meta-Analysis.
Microsurgery
January 2025
Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Background: Acetylsalicylic acid (ASA) has been used in reconstructive microsurgery since the inception of the field. However, when compared to placebo groups, its efficacy is not confirmed. In our study, we hypothesize that the utility of ASA postoperatively in microvascular surgery is not associated with improved outcomes.
View Article and Find Full Text PDFHirudotherapy Efficacy and Complications in the Management of Microsurgical Breast Reconstruction: A Systematic Review.
World J Plast Surg
January 2024
Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Background: We aimed to assess the effect of hirudotherapy on flap congestion and thrombosis in adult female patients who underwent microvascular breast reconstruction.
Methods: A systematic review of PubMed, Web of Science, and Cochrane was completed. A qualitative synthesis of all included studies was then performed.
Disparities in Breast Reconstruction After Mastectomy in Southeast Asia: A Systematic Review.
J Surg Oncol
December 2024
Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Article Synopsis
- - Breast cancer is the most common cancer among women in Southeast Asia, but access to post-mastectomy reconstruction is unequal due to cultural, economic, and healthcare-related disparities that negatively affect patient outcomes and quality of life.
- - A systematic review of 15 studies from Southeast Asian countries revealed that cultural preferences and economic barriers significantly influence the choice and access to breast reconstruction techniques, with significant cost differences between procedures.
- - The findings emphasize the need for targeted interventions to improve education, expand reconstructive options, and address healthcare inequalities to reduce the existing disparities in breast reconstruction access across the region.
Perforator Selection with Computed Tomography Angiography for Unilateral Breast Reconstruction: A Clinical Multicentre Analysis.
Medicina (Kaunas)
September 2024
Department of Plastic and Reconstructive Surgery, Peninsula Health, Melbourne 3199, Australia.
: Despite CTAs being critical for preoperative planning in autologous breast reconstruction, experienced plastic surgeons may have differing preferences for which side of the abdomen to use for unilateral breast reconstruction. Large language models (LLMs) have the potential to assist medical imaging interpretation. This study compares the perforator selection preferences of experienced plastic surgeons with four popular LLMs based on CTA images for breast reconstruction.
View Article and Find Full Text PDFPulsed Radiofrequency in the Management of Postsurgical Abdominal Wall Chronic Pain: A Report From a Single Oncological Center.
Cureus
August 2024
Department of Anesthesiology and Intensive Care Medicine, Instituto Português de Oncologia do Porto Francisco Gentil EPE, Porto, PRT.
Chronic postsurgical pain (CPSP) is defined as pain that develops or increases in intensity after a surgical procedure or tissue injury and persists beyond the healing process, lasting at least three months after the precipitating event. Often neuropathic in nature, CPSP can be challenging to manage. CPSP is a common complication, with data suggesting an incidence ranging from 5% to 85%, depending on the type of procedure.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!