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J Reconstr Microsurg 2003; 19(5): 287-290
DOI: 10.1055/s-2003-42495
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Retrospective Review of the Internal Doppler Probe for Intra- and Postoperative Microvascular Surveillance

Jorge de la Torre, William Hedden, John H. Grant, III, Paul M. Gardner, R. Jobe Fix, Luis O. Vásconez
  • Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, Alabama
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Publication History

Publication Date:
24 September 2003 (online)

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ABSTRACT

The purpose of this review was to evaluate the utility of the 20 MHz microvascular implantable Doppler probe for free-tissue transfer, both intra- and postoperatively. Over a 15-month period, the Doppler probe was used in a total of 260 anastomoses, including 118 arterial and 142 venous microanastamoses. In these 260 anastomoses, there were six false positive results and eight true positives, resulting in one flap loss. The free flap success rate was 99 percent, the re-exploration rate was 8 percent, and the salvage rate was 83 percent. The internal Doppler offers an easy and reliable way to monitor microvascular free-tissue transfer both intra- and postoperatively. This study demonstrates the continued increase in survival, as well as salvage, of free-tissue transfer.

KEYWORDS

Internal Doppler probe - free tisue transfers - intra- and postoperative

REFERENCES

  • 1 Jones B M. Monitors for the cutaneous microcirculation.  Plast Reconstr Surg . 1984;  73 843-850
    PubMedGoogle Scholar
  • 2 Hirigoyen M B, Urken M L, Weinberg H. Free flap monitoring: a review of current practice.  Microsurgery . 1995;  16 723-726
    CrossrefPubMedGoogle Scholar
  • 3 Disa J J, Cordiero P G, Hidalgo D A. Efficacy of conventional monitoring techniques in free tissue transfer: an 11-year experience in 750 consecutive cases.  Plast Reconstr Surg . 1999;  104 97-101
    CrossrefPubMedGoogle Scholar
  • 4 Swartz W M, Jones N F, Cherup L, Klein A. Direct monitoring of the microvascular anastamosis with the 20-MHz ultrasonic Doppler probe: an experimental and clinical study.  Plast Reconstr Surg . 1988;  81 149-158
    CrossrefPubMedGoogle Scholar
  • 5 Parker P M, Fischer J C, Shaw W W. Implantable pulsed Doppler cuff for long-term monitoring of free flaps: a preliminary study.  Microsurgery . 1984;  5 130-135
    CrossrefPubMedGoogle Scholar
  • 6 Shaw W W. Micovascular free flaps: survival, donor sites and applications. In: Buncke HJ and Furnas DW (eds), Symposium on Clinical Frontiers in Reconstructive Microsurgery St. Louis: Mosby; 1984
    Google Scholar
  • 7 Khouri R. Avoiding free flap failure.  Clin Plast Surg . 1994;  93 773-781
    PubMedGoogle Scholar
  • 8 Irons G B, Wood M B, Schmitt III H E. Experience with one hundred consecutive free flaps.  Ann Plast Surg . 1987;  18 17-23
    CrossrefPubMedGoogle Scholar
  • 9 Kind G M, Buntic R F, Buncke G M. The effects of an implantable Doppler probe on the salvage of microvascular tissue transfers.  Plast Reconstr Surg . 1996;  101 1268-1273
    PubMedGoogle Scholar
  • 10 Khouri R K. Avoiding free flap failure.  Clin Plast Surg . 1992;  19 773-781
    Google Scholar
  • 11 Shaw W W. Discussion. Direct monitoring of the microvascular anastamosis with the 20-MHz ultrasonic Doppler probe: an experimental and clinical study.  Plast Reconstr Surg . 1988;  81 159-161
    PubMedGoogle Scholar
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