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- W2142090583 abstract "Studies comparing the vascular territories of vessels to a flap, for example the DIEP and SIEA vessels in the lower abdomen, involve the sequential occlusion of vessels. By clamping, unclamping and reclamping, the vascular territories of each individual vessel can be compared. Microvascular studies describe a blood flow ‘stabilisation’ period of 10 min or longer after releasing the vessel clamp, before assessing a vessel using methods including laser Doppler, 1 Hallock G.G. Critical threshold for tissue viability as determined by laser Doppler flowmetry. Ann Plast Surg. 1992; 28: 554-558 Google Scholar , 2 Khan M.S. Kairinos N. Cadier M. The use of laser Doppler in determining timing for division of cross leg free flaps. Br J Plast Surg. 2005; 58: 120-121 Google Scholar , 3 Ulusal B.G. Cheng M.H. Wei F.C. Ho-Asjoe M. Song D. Breast reconstruction using the entire transverse abdominal adipocutaneous flap based on unilateral superficial or deep inferior epigastric vessels. Plast Reconstr Surg. 2006; 117: 1395-1403 Google Scholar , 4 Yoshino K. Nara S. Endo M. Kamata N. Intraoral free flap monitoring with a laser Doppler flowmeter. Microsurgery. 1996; 17: 337-340 Google Scholar indocyanine green, 5 Holm C. Mayr M. Hofter E. Ninkovic M. Perfusion zones of the DIEP flap revisited: a clinical study. Plast Reconstr Surg. 2006; 117: 37-43 Google Scholar videoangiography, tissue spectrophotometry and near-infrared. This period of reperfusion is ill defined and is of importance in intra-operative studies assessing multiple vessels in free flap transfer. The lower abdominal skin and Deep Inferior Epigastric Perforator (DIEP) flap was used as a model in this feasibility study, designed to clarify effects of different microvascular clamp times, and laser doppler scanning times following clamp release, to define the period of reactive hyperaemia, with a view to subsequently investigating physiological territories of vessels using intra-operative studies. Knowledge of these parameters would allow the design of further intra-operative studies and maximise the information gathered within operative time constraints." @default.
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- W2142090583 date "2012-06-01" @default.
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- W2142090583 title "Determining reactive hyperaemia time in Deep Inferior Epigastric perforators after temporary occlusion to allow the intraoperative comparison of vascular territories" @default.
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- W2142090583 doi "https://doi.org/10.1016/j.bjps.2012.01.011" @default.
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