000			03106nam a22003737a 4500
008			201231s20202020 xxu||||| |||| 00| 0 eng d
022			_a2169-7574
024			_a10.1097/GOX.0000000000003229 [doi]
024			_aPMC7722568 [pmc]
040			_aOvid MEDLINE(R)
099			_a33299699
245			_aIntraoperative Utility of the Implantable Doppler in Lower Extremity Reconstruction: A Matched Case-control Study.
251			_aPlastic and Reconstructive Surgery - Global Open. 8(11):e3229, 2020 Nov.
252			_aPlast. reconstr. surg., Glob. open. 8(11):e3229, 2020 Nov.
253			_aPlastic and reconstructive surgery. Global open
260			_c2020
260			_fFY2021
265			_sepublish
266			_d2020-12-31
520			_aConclusion: 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			_aMethods: 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			_aPatients 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			_aResults: 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			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aSurgery/Plastic Surgery
657			_aJournal Article
700			_aAbdou, Salma A
700			_aSharif-Askary, Banafsheh
790			_aAbdou SA, Evans KK, Sharif-Askary B, Zolper EG
856			_uhttps://dx.doi.org/10.1097/GOX.0000000000003229 _zhttps://dx.doi.org/10.1097/GOX.0000000000003229
942			_cART _dArticle
999			_c5997 _d5997