Perfusion dynamics of free DIEP and SIEA flaps during the first postoperative week monitored with dynamic infrared thermography

Annals of Plastic Surgery
Louis de WeerdJames B Mercer

Abstract

Perfusion dynamics of 16 free DIEP flaps and 4 free SIEA flaps were studied during the first, third, and sixth postoperative day using dynamic infrared thermography (DIRT). For both flap types the zone positioned over the perforator is perfused first, followed by the adjacent ipsilateral zone, and finally the contralateral zones. Perfusion of the subdermal plexus of all zones preceded the perfusion of the subcutaneous layer of all zones. While the initial hyperemia subsided with time, the total number of hot spots increased with time. Perfusion of free DIEP and SIEA flaps during the first postoperative week is a dynamic process. The perfusion shows a stepwise progression at the level of the subdermal plexus and at the level of the subcutaneous layer each with its own time sequence and with the midline as an area of resistance for circulation.

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Citations

Nov 28, 2013·Plastic and Reconstructive Surgery·Yezen SheenaO Garth Titley
Jan 15, 2011·Annals of Plastic Surgery·Marieke G W van den HeuvelRené R W J van der Hulst
Mar 17, 2011·Annals of Plastic Surgery·Xavier TenorioBrigitte Pittet
Dec 18, 2012·Annals of Plastic Surgery·Louis de WeerdJames B Mercer
Jan 17, 2016·Microsurgery·Kyeong-Tae Lee, Goo-Hyun Mun
Oct 28, 2016·European Journal of Pharmaceutical Sciences : Official Journal of the European Federation for Pharmaceutical Sciences·Selenia TernulloNataša Škalko-Basnet
Jan 17, 2017·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Louis de WeerdSven Weum
Apr 11, 2018·Plastic and Reconstructive Surgery. Global Open·Solveig NergårdLouis de Weerd
Oct 20, 2018·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Xiucun LiXu Gong
Mar 1, 2012·Physiological Measurement·E F J Ring, K Ammer
Jun 10, 2014·Physiological Measurement·John Allen, Kevin Howell
Jan 29, 2016·Plastic and Reconstructive Surgery·Brett T PhillipsMichael R Zenn
Jul 9, 2014·Annals of Plastic Surgery·Robert F LohmanRisal Djohan
Apr 3, 2016·International Journal of Rheumatic Diseases·Maria A C van der WeijdenWillem F Lems
May 24, 2018·Archives of Plastic Surgery·Ignacio Javier CifuentesDaniela Maldonado
Apr 25, 2019·Evidence-based Complementary and Alternative Medicine : ECAM·D Álvarez-PratsF Medina-Mirapeix
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Jul 6, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Filip E F ThiessenWiebren A A Tjalma
Feb 11, 2021·Plastic and Reconstructive Surgery. Global Open·Solveig NergårdLouis de Weerd
May 21, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Firas J RahemanNakul G Patel
May 27, 2021·Plastic and Reconstructive Surgery. Global Open·Muiz A ChaudhryLouis de Weerd
Sep 24, 2021·Frontiers in Veterinary Science·Calan M FarleyCynthia M Otto
May 31, 2011·Clinics in Plastic Surgery·Louis de WeerdSven Weum

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