The efficacy of postoperative monitoring: A single surgeon comparison of clinical monitoring and the implantable doppler probe in 547 consecutive free flaps

Microsurgery

Volumn 30, Issue 2, 2010, Pages 105-110

  Rozen, Warren M ^a   Chubb, Daniel ^a   Whitaker, Iain S ^b   Acosta, Rafael ^c  

^a UNIVERSITY OF MELBOURNE   (Australia)

^b MORRISTON HOSPITAL   (United Kingdom)

^c UPPSALA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BREAST RECONSTRUCTION; DEEP INFERIOR EPIGASTRIC PERFORATOR FLAP; DOPPLER FLOWMETRY; FASCIOCUTANEOUS FLAP; FREE TISSUE GRAFT; GRAFT SALVAGE; HUMAN; IMPLANT; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MECHANICAL PROBE; OUTCOME ASSESSMENT; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SUPERFICIAL INFERIOR EPIGASTRIC ARTERY FLAP; SUPERIOR GLUTEAL ARTERY PERFORATOR FLAP; SURGEON; SURGICAL TECHNIQUE;

ALGORITHMS; COHORT STUDIES; FEMALE; HUMANS; MAMMAPLASTY; MICROSURGERY; POSTOPERATIVE CARE; PREDICTIVE VALUE OF TESTS; REGIONAL BLOOD FLOW; RETROSPECTIVE STUDIES; SURGICAL FLAPS; TRANSDUCERS; TREATMENT OUTCOME; ULTRASONOGRAPHY, DOPPLER;

EID: 76549104333     PISSN: 07381085     EISSN: 10982752     Source Type: Journal    
DOI: 10.1002/micr.20706     Document Type: Article

References (23)

1. Bui DT, Cordeiro PG, Hu QY, Disa JJ, Pusic A, Mehrara BJ. Free flap reexploration: Indications, treatment, and outcomes in 1193 free flaps. Plast Reconstr Surg 2007;119:2092-2100.
2. Chen KT, Mardini S, Chuang DC, Lin CH, Cheng MH, Lin YT, Huang WC, Tsao CK, Wei FC. Timing of presentation of the first signs of vascular compromise dictates the salvage outcome of free flap transfers. Plast Reconstr Surg 2007;120:187-195.
3. Hofer SO, Damen TH, Mureau MA, Rakhorst HA, Roche NA. A critical review of perioperative complications in 175 free deep inferior epigastric perforator flap breast reconstructions. Ann Plast Surg 2007;59:137-142.
4. May JW, Chait LA, O'brien BM, Hurley JV. The no-reflow phenomenon in experimental free flaps. Plast Reconstr Surg 1978;61:256-267.
5. Smit JM, Acosta R, Zeebregts CJ, Liss AG, Anniko M, Hartman EH. Early reintervention of compromised free flaps improves success rate. Microsurgery 2007;27:612-616.
6. Smit JM, Zeebregts CJ, Acosta R. Timing of presentation of the first signs of vascular compromise dictates the salvage outcome of free flap transfers. Plast Reconstr Surg 2008;122:991-992.
7. Whitaker IS, Gulati V, Ross GL, Menon A, Ong TK. Variations in the postoperative management of free tissue transfers to the head and neck in the United Kingdom. Br J Oral Maxillofac Surg 2007;45:16-18.
8. Whitaker IS, Oliver DW, Ganchi PA. Postoperative monitoring of microvascular tissue transfers: Current practice in the United kingdom and Ireland. Plast Reconstr Surg 2003;111:2118-2119.
9. Whitney TM, Lineaweaver WC, Billys JB, Siko PP, Buncke GM, Alpert BS, Oliva A, Buncke HJ. Improved salvage of complicated microvascular transplants monitored with quantitative fluorometry. Plast Reconstr Surg 1992;90:105-111.
10. Kind GM, Buntic RF, Buncke GM, Cooper TM, Siko PP, Buncke HJ. The effect of an implantable Doppler probe on the salvage of microvascular tissue transplants. Plast Reconstr Surg 1998;101:1268-1273; discussion 1274-1275.
11. Goldberg J, Sepka RS, Perona BP, Pederson WC, Klitzman B. Laser Doppler blood flow measurements of common cutaneous donor sites for reconstructive surgery. Plast Reconstr Surg 1990;85:581-586.
12. Whitaker IS, Smit JM, Acosta R. A simple method of implantable Doppler cuff attachment: Experience in 150 DIEP breast reconstructions. J Plast Reconstr Aesthet Surg 2008;61:1251-1252.
13. Swartz WM, Izquierdo R, Miller MJ. Implantable venous Doppler microvascular monitoring: Laboratory investigation and clinical results. Plast Reconstr Surg 1994;93:152-163.
14. Solomon GA, Yaremchuk MJ, Manson PN. Doppler ultrasound surface monitoring of both arterial and venous flow in clinical free tissue transfers. J Reconstr Microsurg 1986;3:39-41.
15. Smit JM, Whitaker IS, Liss AG, Audolfsson T, Kildal M, Acosta R. Post operative monitoring of microvascular breast reconstructions using the implantable Cook-Swartz Doppler system: A study of 145 probes & technical discussion. J Plast Reconstr Aesthet Surg 2009 [Epub ahead of print].
16. Pryor SG, Moore EJ, Kasperbauer JL. Implantable Doppler flow system: Experience with 24 microvascular free-flap operations. Otolaryngol Head Neck Surg 2006;135:714-718.
17. De La Torre J, Hedden W, Grant JH, Gardner PM, Fix RJ, Vasconez LO. Retrospective review of the internal Doppler probe for intraand postoperative microvascular surveillance. J Reconstr Microsurg 2003;19:287-290.
18. Oliver DW, Whitaker IS, Giele H, Critchley P, Cassell O. The Cook-Swartz venous Doppler probe for the post-operative monitoring of free tissue transfers in the United Kingdom: A preliminary report. Br J Plast Surg 2005;58:366-370.
19. Parker PM, Fischer JC, Shaw WW. Implantable pulsed Doppler cuff for long-term monitoring of free flaps: A preliminary study. Microsurgery 1984;5:130-135.
20. Swartz WM, Jones NF, Cherup L, Klein A. Direct monitoring of microvascular anastomoses with the 20-MHz ultrasonic Doppler probe: An experimental and clinical study. Plast Reconstr Surg 1988;81:149-161.
21. Lineaweaver WC. The implantable Doppler probe. Plast Reconstr Surg 1988;82:1099-1100.
22. Disa JJ, Cordeiro PG, Hidalgo DA. Efficacy of conventional monitoring techniques in free tissue transfer: An 11-year experience in 750 consecutive cases. Plast Reconstr Surg 1999;104:97-101.
23. Rosenberg JJ, Fornage BD, Chevray PM. Monitoring buried free flaps: Limitations of the implantable Doppler and use of color duplex sonography as a confirmatory test. Plast Reconstr Surg 2006;118:109-113; discussion 114-105.