Preoperative and postoperative evaluation of latissimus dorsi myocutaneous flap vascularization by color flow duplex scanning

At the Plastic and Reconstructive Surgery Department of the University of Perugia, 104 patients have been examined by color flow duplex scanning in order to study latissimus dorsi vascular supply before and after surgical procedures. This noninvasive ultrasound technique provides a precise and accur...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 1995-11, Vol.96 (6), p.1358-1365
Hauptverfasser: DOMINICI, C, PACIFICI, A, TINTI, A, CORDELLINI, M, FLAMINI, F. O
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container_end_page 1365
container_issue 6
container_start_page 1358
container_title Plastic and reconstructive surgery (1963)
container_volume 96
creator DOMINICI, C
PACIFICI, A
TINTI, A
CORDELLINI, M
FLAMINI, F. O
description At the Plastic and Reconstructive Surgery Department of the University of Perugia, 104 patients have been examined by color flow duplex scanning in order to study latissimus dorsi vascular supply before and after surgical procedures. This noninvasive ultrasound technique provides a precise and accurate measurement of blood flow velocity (15 cm/s) and volume (27 ml/min) within the thoracodorsal artery, which represents the vascular pedicle of the flap, and it allows us to detect the exact location of the perforating branches with their cutaneous distribution. This preoperative evaluation, pointing out vascular pathologies that contraindicate use of the latissimus dorsi flap, can be considered a great help for the reconstructive surgeon in the choice of the most suitable operation, and it can surely lead to a significant decrease in postoperative graft failure rates.
doi_str_mv 10.1097/00006534-199511000-00019
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source MEDLINE; Journals@Ovid Complete
subjects Adolescent
Adult
Aged
Back
Biological and medical sciences
Female
Humans
Mammaplasty - methods
Medical sciences
Middle Aged
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Treatment Outcome
Ultrasonography, Doppler, Color
Ultrasonography, Doppler, Duplex
title Preoperative and postoperative evaluation of latissimus dorsi myocutaneous flap vascularization by color flow duplex scanning
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