dc.contributor.author | Nergård, Solveig | |
dc.contributor.author | Mercer, James | |
dc.contributor.author | de Weerd, Louis | |
dc.date.accessioned | 2022-04-29T12:45:19Z | |
dc.date.available | 2022-04-29T12:45:19Z | |
dc.date.issued | 2017-12-28 | |
dc.description.abstract | Background: 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.citation | Nergård, 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 12 | en_US |
dc.identifier.cristinID | FRIDAID 1681291 | |
dc.identifier.doi | 10.1097/gox.0000000000001601 | |
dc.identifier.issn | 1560-604X | |
dc.identifier.uri | https://hdl.handle.net/10037/24955 | |
dc.language.iso | eng | en_US |
dc.publisher | Wolters Kluwer | en_US |
dc.relation.journal | Thermology International | |
dc.rights.accessRights | openAccess | en_US |
dc.rights.holder | Copyright 2017 The Author(s) | en_US |
dc.title | Perfusion dynamics in abdominal skin after free abdominal flap breast reconstruction using internal mammary vessels as recipient vessels. A clinical study using Dynamic Infrared Thermography | en_US |
dc.type.version | publishedVersion | en_US |
dc.type | Journal article | en_US |
dc.type | Tidsskriftartikkel | en_US |
dc.type | Peer reviewed | en_US |