Title

Assessment of TRAM Flap Perfusion Using Laser Doppler Flowmetry: an Adjunct to Microvascular Augmentation.

Publication/Presentation Date

8-1-1992

Abstract

Any necrosis after reconstruction of the modified radical mastectomy defect using a superior epigastric based unipedicled lower transverse rectus abdominis myocutaneous flap should be unusual. Identification of the marginal flap at risk for this complication is important as this would permit immediate microvascular augmentation to enhance total survival. The dilemma, then, is how to define which flaps would benefit. We believe this is possible using laser Doppler flowmetry as a continuous, noninvasive, objective monitor of flap perfusion. Flow characteristics have been obtained in 16 consecutive transverse rectus abdominis myocutaneous flaps using the laser Doppler, where 2 were shown to have been in jeopardy for major flap loss. After appropriate microanastomoses as indicated, all flaps totally survived as predicted.

Volume

29

Issue

2

First Page

122

Last Page

127

ISSN

0148-7043

Disciplines

Medicine and Health Sciences | Other Medical Specialties | Plastic Surgery | Surgery

PubMedID

1388344

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article