The Role of Intraoperative Perfusion Assessment: What Is the Current State and How Can I Use It in My Practice?

Plastic and Reconstructive Surgery
Brett T PhillipsMichael R Zenn

Abstract

Evolving intraoperative technology has an increased presence and usefulness in aiding surgeon clinical judgment. Many surgical devices are readily available as an adjunct to this gold standard assessment of adequate tissue perfusion. Intraoperative perfusion monitoring provides surgeons with the ability to interpret additional information that enhances surgical decision-making in real-time. Technologies include various dye-based and non-dye-based near-infrared angiography, tissue oximetry measurements, and ultrasound-based tools. This review summarizes the available intraoperative technologies for planning and assessment of tissue perfusion in plastic and reconstructive surgery. The authors discuss the available literature for the individual devices and supporting evidence for their use. The authors recommend the evidence-based use of these tools in indicated surgical cases to improve clinical outcomes.

References

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Citations

Nov 23, 2017·Plastic and Reconstructive Surgery·Scot Bradley Glasberg
Oct 20, 2018·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Xiucun LiXu Gong
Oct 19, 2019·Plastic and Reconstructive Surgery. Global Open·Karen B LuBardia Amirlak
Feb 26, 2020·Plastic and Reconstructive Surgery. Global Open·Johan ZöttermanErik Tesselaar
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Ariel C JohnsonDavid W Mathes
Mar 30, 2020·Plastic and Reconstructive Surgery·Devinder SinghEmile Brown
Feb 8, 2019·JAMA Facial Plastic Surgery·Mohamed AbdelwahabSam P Most
Feb 29, 2020·Journal of Reconstructive Microsurgery·Andreas KehrerNatascha Platz Batista da Silva

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