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dc.contributor.authorNergård, Solveig
dc.contributor.authorMercer, James
dc.contributor.authorde Weerd, Louis
dc.date.accessioned2022-04-29T12:45:19Z
dc.date.available2022-04-29T12:45:19Z
dc.date.issued2017-12-28
dc.description.abstractBackground: Wound healing problems at the donor site in free abdominal flap breast reconstruction cause significant morbidity to patients. No studies have investigated what impact the use of the internal mammary artery in free abdominal flap breast reconstruction has on abdominal skin perfusion. We hypothesized that harvesting the internal mammary vessels (IMV) has a negative effect on abdominal skin perfusion.<p> <p>Methods: The abdomen and anterior thoracic wall of 17 patients scheduled for secondary free abdominal flap breast reconstruction using IMV was pre-, intra-, and postoperatively examined with dynamic infrared thermography. Qualitative and quantitative analyses of the rate and pattern of recovery in Huger’s vascular zones were made with each patient being its own control. Zone III on the side where IMV were used was numbered zone IV. The contralateral zone III was used as reference.<p> <p>Results: Postoperative abdominal skin perfusion in zone IV was always significantly reduced compared with zone III (1-tailed t test, P < 0.05). The difference between zones II and III was statistically significant for day 1 and 3, but not for day 6 (2-tailed t test, P < 0.05). Skin perfusion in zones II and IV increased during consecutive postoperative days with an increase of hot spots in these areas.<p> <p>Conclusions: Using the IMV in free abdominal flap breast reconstruction had a significant effect on abdominal skin perfusion and may contribute to abdominal wound healing problems. The reperfusion of the abdominal skin was a dynamic process showing an increase in perfusion in the affected areas during the postoperative days.en_US
dc.identifier.citationNergård, Solveig MD*; Mercer, James B. PhD†‡§; de Weerd, Louis MD, PhD*§ Internal Mammary Vessels’ Impact on Abdominal Skin Perfusion in Free Abdominal Flap Breast Reconstruction, Plastic and Reconstructive Surgery - Global Open: December 2017 - Volume 5 - Issue 12en_US
dc.identifier.cristinIDFRIDAID 1681291
dc.identifier.doi10.1097/gox.0000000000001601
dc.identifier.issn1560-604X
dc.identifier.urihttps://hdl.handle.net/10037/24955
dc.language.isoengen_US
dc.publisherWolters Kluweren_US
dc.relation.journalThermology International
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2017 The Author(s)en_US
dc.titlePerfusion dynamics in abdominal skin after free abdominal flap breast reconstruction using internal mammary vessels as recipient vessels. A clinical study using Dynamic Infrared Thermographyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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