MARC details
000 -LEADER |
fixed length control field |
03106nam a22003737a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
201231s20202020 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
2169-7574 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1097/GOX.0000000000003229 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
PMC7722568 [pmc] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
33299699 |
245 ## - TITLE STATEMENT |
Title |
Intraoperative Utility of the Implantable Doppler in Lower Extremity Reconstruction: A Matched Case-control Study. |
251 ## - Source |
Source |
Plastic and Reconstructive Surgery - Global Open. 8(11):e3229, 2020 Nov. |
252 ## - Abbreviated Source |
Abbreviated source |
Plast. reconstr. surg., Glob. open. 8(11):e3229, 2020 Nov. |
253 ## - Journal Name |
Journal name |
Plastic and reconstructive surgery. Global open |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2020 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2021 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
epublish |
266 ## - Date added to catalog |
Date added to catalog |
2020-12-31 |
520 ## - SUMMARY, ETC. |
Abstract |
Conclusion: The implantable Doppler probe optimizes flap inset intraoperatively in lower extremity free flap reconstruction and can significantly decrease takebacks due to vascular complications, thereby increasing flap success. Copyright (c) 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. |
520 ## - SUMMARY, ETC. |
Abstract |
Methods: Patients undergoing lower extremity free flap reconstruction who did not have an implantable Doppler probe placed were matched with patients who received an implantable Doppler probe. Groups were matched based on wound location, history of peripheral vascular disease, number of vessel runoffs, and number of venous anastomoses and postoperative outcomes compared. |
520 ## - SUMMARY, ETC. |
Abstract |
Patients with diabetes mellitus and peripheral vascular disease have high rates of thrombogenic vessels. The implantable (Cook) Doppler in lower extremity reconstruction can optimize microsurgical outcomes in this population. |
520 ## - SUMMARY, ETC. |
Abstract |
Results: Thirty patients were included: 15 in the control group and 15 in the implantable Doppler group. Mean age was 60.2 +/-10.2 years, and mean BMI was 28.7 +/- 5.0 kg/m2. There was a high prevalence of diabetes mellitus (13; 43.3%) and peripheral vascular disease (4; 13.3%). Takebacks due to vascular compromise were significantly higher in the control than in the implantable Doppler group (26.7% versus 0.0%, P = 0.032). Among flaps that required takeback to the operating room, the majority were muscle-based without a skin paddle (75.0%). Vascular compromise was due to arterial insufficiency in 2 cases and venous thrombosis in 1 case. The salvage rate among the takebacks of the non-implantable Doppler group was 0.0%, resulting in a 26.7% flap failure rate in the non-implantable Doppler group when compared with 0.0% flap loss in the implantable Doppler group (P = 0.032). |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
Surgery/Plastic Surgery |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Abdou, Salma A |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Sharif-Askary, Banafsheh |
790 ## - Authors |
All authors |
Abdou SA, Evans KK, Sharif-Askary B, Zolper EG |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1097/GOX.0000000000003229">https://dx.doi.org/10.1097/GOX.0000000000003229</a> |
Public note |
https://dx.doi.org/10.1097/GOX.0000000000003229 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |