Intraoperative Utility of the Implantable Doppler in Lower Extremity Reconstruction: A Matched Case-control Study. (Record no. 5997)

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
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Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/31/2020   33299699 33299699 12/31/2020 12/31/2020 Journal Article

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