دورية أكاديمية
The effect of an implantable Doppler probe on the salvage of microvascular tissue transplants.
| العنوان: | The effect of an implantable Doppler probe on the salvage of microvascular tissue transplants. |
|---|---|
| المؤلفون: | Kind GM; Microsurgical Replantation Transplantation Department of Daives Medical Center, San Francisco, Calif 94114, USA., Buntic RF, Buncke GM, Cooper TM, Siko PP, Buncke HJ Jr |
| المصدر: | Plastic and reconstructive surgery [Plast Reconstr Surg] 1998 Apr; Vol. 101 (5), pp. 1268-73; discussion 1274-5. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1306050 Publication Model: Print Cited Medium: Print ISSN: 0032-1052 (Print) Linking ISSN: 00321052 NLM ISO Abbreviation: Plast Reconstr Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Original Publication: Baltimore : Williams & Wilkins, |
| مواضيع طبية MeSH: | Graft Survival*, Surgical Flaps/*blood supply , Ultrasonography, Doppler/*instrumentation, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anastomosis, Surgical/adverse effects ; Child ; Child, Preschool ; Equipment Design ; False Positive Reactions ; Female ; Humans ; Male ; Microsurgery/adverse effects ; Middle Aged ; Miniaturization ; Monitoring, Physiologic/instrumentation ; Polyglactin 910 ; Prostheses and Implants ; Regional Blood Flow ; Safety ; Surgical Flaps/adverse effects ; Surgical Mesh ; Thrombosis/diagnosis ; Thrombosis/surgery ; Vasoconstriction ; Veins/transplantation |
| مستخلص: | One hundred forty-seven flaps in 135 consecutive patients undergoing microvascular transplantation were monitored using a miniature Doppler ultrasonic probe. Using a modification of a technique described previously by Swartz, the probes were secured to the outflow vein of the flap with Vicryl mesh. Twenty instances of thrombosis or spasm were detected in 16 patients, and all flaps were salvaged (100 percent). There were four false positive and no false negative results. This probe allows for safe, continuous monitoring of flap blood flow, which permits the rapid detection and hence rapid treatment of postoperative complications. Our experience suggests that a significant improvement in the salvage rate of microvascular transplants may be attainable with the use of this device. |
| المشرفين على المادة: | 34346-01-5 (Polyglactin 910) |
| تواريخ الأحداث: | Date Created: 19980407 Date Completed: 19980409 Latest Revision: 20221222 |
| رمز التحديث: | 20240628 |
| PMID: | 9529212 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0032-1052 |
|---|