Breast Reconstruction Clinical Trial
Official title:
Microcirculatory Evaluation of the Abdominal Skin in Breast Reconstruction With Deep Inferior Epigastric Artery Perforator Flap
The purpose of this study was to perform a quantitative perfusion study of the undermined
abdominal skin in deep inferior epigastric artery perforator flap breast reconstruction
patients in order to obtain more knowledge on perfusion dynamics. Laser Doppler perfusion
imaging (LDPI) was used to evaluate this.
Microcirculatory changes were monitored in the abdominal skin of 20 consecutive patients.
Measurements were taken and recorded within four standardized zones covering the skin
between the xiphoid process and the upper incisional boundary of the flap (zone 1-4; cranial
to caudal).
Background: No studies have assessed the perfusion of the undermined abdominal skin in
breast reconstruction with deep inferior epigastric artery perforator flap. A greater
understanding of the procedure's impact on the perfusion of the abdominal skin can be
valuable in predicting areas susceptible to necrosis.
Methods: Microcirculatory changes were monitored in the abdominal skin of 20 consecutive
patients undergoing breast reconstruction with a deep inferior epigastric artery perforator
flap. Quantitative mapping was performed with laser Doppler perfusion imaging at seven set
intervals. Measurements were taken and recorded within four standardized zones covering the
skin between the xiphoid process and the upper incisional boundary of the flap (zone 1-4;
cranial to caudal).
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