Perforator dilatation induced by body weight gain is not reversed by subsequent weight loss: Implications for perforator flaps

Plastic and Reconstructive Surgery

Volumn 122, Issue 6, 2008, Pages 1765-1772

  Shayan, Ramin ^a,b   Rozen, Warren M ^a,b   Bernard, Simon ^a,b   Corlett, Russell J ^a,b   Ashton, Mark W ^a,b   Taylor, G Ian ^a,b  

^a UNIVERSITY OF MELBOURNE   (Australia)

^b ROYAL MELBOURNE HOSPITAL   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL WALL; ABDOMINOPLASTY; ADULT; ARTICLE; BODY MASS; BREAST RECONSTRUCTION; CLINICAL TRIAL; COHORT ANALYSIS; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEEP INFERIOR EPIGASTRIC PERFORATOR FLAP; EPIGASTRIC ARTERY; HUMAN; MAJOR CLINICAL STUDY; PERFORATOR FLAP; PEROPERATIVE CARE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SINGLE BLIND PROCEDURE; TREATMENT OUTCOME; WEIGHT GAIN; WEIGHT REDUCTION; ANGIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; METHODOLOGY; MIDDLE AGED; PATIENT MONITORING; PLASTIC SURGERY; RADIOGRAPHY; VASCULARIZATION;

ABDOMINAL WALL; ADULT; ANGIOGRAPHY; BODY MASS INDEX; EPIGASTRIC ARTERIES; FEMALE; HUMANS; MAMMAPLASTY; MIDDLE AGED; MONITORING, INTRAOPERATIVE; PROSPECTIVE STUDIES; SURGICAL FLAPS; TOMOGRAPHY, X-RAY COMPUTED; WEIGHT GAIN; WEIGHT LOSS;

EID: 58149402984     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/PRS.0b013e31818cc0ff     Document Type: Article

References (22)

1. Blondeel, P. N., Van Landuyt, K. H., Monstrey, S. J., et al. The "Gent" consensus on perforator flap terminology: Preliminary definitions. Plast. Reconstr. Surg. 112: 1378, 2003.
2. Hallock, G. G. Direct and indirect perforator flaps: The history and the controversy. Plast. Reconstr. Surg. 111: 855, 2003.
3. Taylor, G. I. The "Gent" consensus on perforator flap terminology: Preliminary definitions (Discussion). Plast. Reconstr. Surg. 112: 1384, 2003.
4. Koshima, I., and Soeda, S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br. J. Plast. Surg. 42: 645, 1989.
5. Boyd, J. B., Taylor, G. I., and Corlett, R. J. The vascular territories of the superior epigastric and deep inferior epigastric systems. Plast. Reconstr. Surg. 73: 1, 1984.
6. Hallock, G. G. Evaluation of fasciocutaneous perforators using color duplex imaging. Plast. Reconstr. Surg. 94: 644, 1994.
7. Kroll, S. S. Fat necrosis in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps. Plast. Reconstr. Surg. 106: 576, 2000.
8. Rozen, W. M., Phillips, T. J., Ashton, M. W., Stella, D. L., Gibson, R. N., and Taylor, G. I. Preoperative imaging for DIEA perforator flaps: A comparative study of computed tomographic angiography and Doppler ultrasound. Plast. Reconstr. Surg. 121: 9, 2008.
9. Rozen, W. M., Stella, D. L., Ashton, M. W., Phillips, T. J., and Taylor, G. I. The cutaneous arteries of the anterior abdominal wall: A three-dimensional study. Plast. Reconstr. Surg. 121: 1510, 2008.
10. Patel, A. S., Mackey, R. H., Wildman, R. P., et al. Cardiovascular risk factors associated with enlarged diameter of the abdominal aortic and iliac arteries in healthy women. Atherosclerosis 178: 311, 2005.
11. Päivänsalo, M. J., Merikanto, J., Jerkkola, T., et al. Effect of hypertension and risk factors on diameters of abdominal aorta and common iliac and femoral arteries in middle-aged hypertensive and control subjects: A cross-sectional systematic study with duplex ultrasound. Atherosclerosis 153: 99, 2000.
12. Munk, A., Darge, K., Wiesel, M., and Troeger, J. Diameter of the infrarenal aorta and the iliac arteries in children: Ultrasound measurements. Transplantation 73: 631, 2002.
13. Adams, R. H., and Alitalo, K. Molecular regulation of an-giogenesis and lymphangiogenesis. Nat. Rev. Mol. Cell Biol. 8: 464, 2007.
14. Risau, W., and Flamme, I. Vasculogenesis. Annu. Rev. Cell Dev. Biol. 11: 73, 1995.
15. Chang, D. W., Wang, B., Robb, G. L., et al. Effect of obesity on flap and donor-site complications in free transverse rectus abdominis myocutaneous flap breast reconstruction. Plast. Reconstr. Surg. 105: 1640, 2000.
16. Spear, S. L., Ducic, I., Cuoco, F., and Taylor, N. Effect of obesity on flap and donor-site complications in pedicled TRAM flap breast reconstruction. Plast. Reconstr. Surg. 119: 788, 2007.
17. Platt, A. J., Mohan, D., and Baguley, P. The effect of body mass index and wound irrigation on outcome after bilateral breast reduction. Ann. Plast. Surg. 51: 552, 2003.
18. Dhar, S. C., and Taylor, G. I. The delay phenomenon: The story unfolds. Plast. Reconstr. Surg. 104: 2079, 1999.
19. Lineaweaver, W. C., Lei, M. P., Mustain, W., Oswald, T. M., Cui, D., and Zhang, F. Vascular endothelium growth factor, surgical delay, and skin flap survival. Ann. Surg. 239: 866, 2004.
20. Seify, H., Bilkay, U., and Jones, G. Improvement of TRAM flap viability using human VEGF-induced angiogenesis: A comparative study of delay techniques. Plast. Reconstr. Surg. 112: 1032, 2003.
21. Seify, H., Bulky, U., and Jones, G. Effect of vascular endo-thelial growth factor-induced angiogenesis on TRAM flap harvesting after abdominoplasty. Plast. Reconstr. Surg. 111: 1212, 2003.
22. Callegari, P. R., Taylor, G. I., Caddy, C. M., and Minabe, T. An anatomic review of the delay phenomenon: I. Experimental studies. Plast. Reconstr. Surg. 89: 397, 1992.