Perfusion changes in perforator-based propeller flaps
Zitieren Sie bitte immer diese URN: urn:nbn:de:bvb:20-opus-350491
- Background To cover soft tissue defects, the perforator-based propeller flap offers the option to rotate healthy tissue into complex wounds. By rotating the flap, the perforator is torqued. As a result, perfusion changes are possible. Methods A retrospective data analysis of patients was done, who received a propeller flap to cover soft tissue defects of the lower extremity as well as a peri- and postoperative perfusion monitoring with a laser-Doppler-spectrophotometry system. Additionally, patient-specific data wereBackground To cover soft tissue defects, the perforator-based propeller flap offers the option to rotate healthy tissue into complex wounds. By rotating the flap, the perforator is torqued. As a result, perfusion changes are possible. Methods A retrospective data analysis of patients was done, who received a propeller flap to cover soft tissue defects of the lower extremity as well as a peri- and postoperative perfusion monitoring with a laser-Doppler-spectrophotometry system. Additionally, patient-specific data were collected. Results Seven patients were identified. Four patients experienced early complications, two epidermolysis of the distal flap areas, three wound healing disorders, and one partial flap necrosis. Intraoperative perfusion monitoring showed a decline of blood flow after incision of the flap, especially at distal flap site. In case of complications, there were prolonged blood flow declines up to the first postoperative day. Conclusion Torqueing the perforator by rotating the flap can cause an impairment in inflow and outflow. If the impairment is prolonged, perfusion-associated complications are possible. The identification of a viable perforator is particularly important. In addition, a conservative postoperative mobilization is necessary to compensate for the impaired and adapting outflow.…
Autor(en): | Silvia Bernuth, Adrian Vater, Konrad F. Fuchs, Rainer H. Meffert, Rafael G. Jakubietz |
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URN: | urn:nbn:de:bvb:20-opus-350491 |
Dokumentart: | Artikel / Aufsatz in einer Zeitschrift |
Institute der Universität: | Medizinische Fakultät / Klinik und Poliklinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie (Chirurgische Klinik II) |
Sprache der Veröffentlichung: | Englisch |
Titel des übergeordneten Werkes / der Zeitschrift (Englisch): | Journal of Reconstructive Microsurgery Open |
ISSN: | 2377-0813 |
Erscheinungsjahr: | 2023 |
Band / Jahrgang: | 8 |
Heft / Ausgabe: | 1 |
Seitenangabe: | e45-e50 |
Originalveröffentlichung / Quelle: | Journal of Reconstructive Microsurgery Open (2023) 8:1, e45-e50. DOI: 10.1055/a-2086-4988 |
DOI: | https://doi.org/10.1055/a-2086-4988 |
Allgemeine fachliche Zuordnung (DDC-Klassifikation): | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 617 Chirurgie und verwandte medizinische Fachrichtungen |
Freie Schlagwort(e): | lower extremity; perfusion; propeller flap |
Datum der Freischaltung: | 23.04.2024 |
Lizenz (Deutsch): | CC BY-NC-ND: Creative-Commons-Lizenz: Namensnennung, Nicht kommerziell, Keine Bearbeitungen 4.0 International |