Matches in SemOpenAlex for { <https://semopenalex.org/work/W2894070436> ?p ?o ?g. }
Showing items 1 to 74 of
74
with 100 items per page.
- W2894070436 endingPage "242" @default.
- W2894070436 startingPage "242" @default.
- W2894070436 abstract "In Deep Inferior Epigastric Artery Perforator (DIEP) flap breast reconstructions, the survival of this free flap relies on perforators, providing blood supply to the newly molded breast. Preoperative mapping of these randomly distributed blood vessels is of the essence to avoid complications. Depicting these perforators can be achieved through Computed Tomography Angiography (CTA), on which a virtual DIEP flap pre-operative planning can be created by post-processing techniques. Through means of a newly developed innovative hand-held projection device, this planning can be projected directly onto the patient’s abdomen, ensuring a stabilized and aligned representation of the surgical planning regardless of movement of the patient or projection system. In this clinical trial, it was investigated whether the pre-operative projection of a virtual planning directly onto the patient’s abdomen leads to more correctly identified perforator locations and less operation time spent on dissecting the free flap compared to the commonly used handheld Doppler ultrasound method. The study design was a, open, single-center randomized controlled trial in patients undergoing a DIEP flap breast reconstruction between December 2015 to March 2017 with 1 week follow-up. The participants (n=60) undergoing a DIEP flap breast reconstruction without a lymph node transfer were randomly allocated in either the projection group (n=33, age 52 ± 9 yrs, BMI 26.5 ± 2.0), or the control group (n=27, age 50 ± 8 yrs, BMI 26.8 ± 2.7). In the projection group a virtual 3D planning was created, projected and traced onto the patients’ abdomen prior to surgery using the newly developed projection device, where in the control group the perforators were located using handheld Doppler ultrasound. In total, sixty patients provided 69 DIEP flaps for analysis. The projection method is convenient in practice and capable preoperatively of displaying significantly more perforators compared to the Doppler method (respectively 61.7% ± 7.3% versus 41.2 ± 8.2%, p=0.020) and decreasing flap harvest time by 19 minutes (136 ± 7 versus 155 ± 7 minutes, p=0.012). Complications were comparable across both groups. Not only can more perforators be identified intraoperatively using the projection method compared to handheld Doppler ultrasound, but there is also a significant time reduction in harvesting the DIEP flap without increasing complications." @default.
- W2894070436 created "2018-10-05" @default.
- W2894070436 creator A5011066021 @default.
- W2894070436 creator A5018445601 @default.
- W2894070436 creator A5044721789 @default.
- W2894070436 creator A5062201991 @default.
- W2894070436 date "2018-09-01" @default.
- W2894070436 modified "2023-09-25" @default.
- W2894070436 title "Abstract: Augmented Reality in Breast Reconstructive Surgery - Projecting Pre-operative DIEP Flap Planning onto Patients in a Randomized Controlled Trial" @default.
- W2894070436 doi "https://doi.org/10.1097/01.gox.0000547153.37456.a7" @default.
- W2894070436 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6212101" @default.
- W2894070436 hasPublicationYear "2018" @default.
- W2894070436 type Work @default.
- W2894070436 sameAs 2894070436 @default.
- W2894070436 citedByCount "0" @default.
- W2894070436 crossrefType "journal-article" @default.
- W2894070436 hasAuthorship W2894070436A5011066021 @default.
- W2894070436 hasAuthorship W2894070436A5018445601 @default.
- W2894070436 hasAuthorship W2894070436A5044721789 @default.
- W2894070436 hasAuthorship W2894070436A5062201991 @default.
- W2894070436 hasBestOaLocation W28940704361 @default.
- W2894070436 hasConcept C116558999 @default.
- W2894070436 hasConcept C121608353 @default.
- W2894070436 hasConcept C126322002 @default.
- W2894070436 hasConcept C126838900 @default.
- W2894070436 hasConcept C141071460 @default.
- W2894070436 hasConcept C168563851 @default.
- W2894070436 hasConcept C2779370443 @default.
- W2894070436 hasConcept C2779628157 @default.
- W2894070436 hasConcept C2779912925 @default.
- W2894070436 hasConcept C2779983558 @default.
- W2894070436 hasConcept C2780643987 @default.
- W2894070436 hasConcept C2781001896 @default.
- W2894070436 hasConcept C530470458 @default.
- W2894070436 hasConcept C71924100 @default.
- W2894070436 hasConceptScore W2894070436C116558999 @default.
- W2894070436 hasConceptScore W2894070436C121608353 @default.
- W2894070436 hasConceptScore W2894070436C126322002 @default.
- W2894070436 hasConceptScore W2894070436C126838900 @default.
- W2894070436 hasConceptScore W2894070436C141071460 @default.
- W2894070436 hasConceptScore W2894070436C168563851 @default.
- W2894070436 hasConceptScore W2894070436C2779370443 @default.
- W2894070436 hasConceptScore W2894070436C2779628157 @default.
- W2894070436 hasConceptScore W2894070436C2779912925 @default.
- W2894070436 hasConceptScore W2894070436C2779983558 @default.
- W2894070436 hasConceptScore W2894070436C2780643987 @default.
- W2894070436 hasConceptScore W2894070436C2781001896 @default.
- W2894070436 hasConceptScore W2894070436C530470458 @default.
- W2894070436 hasConceptScore W2894070436C71924100 @default.
- W2894070436 hasIssue "9S" @default.
- W2894070436 hasLocation W28940704361 @default.
- W2894070436 hasLocation W28940704362 @default.
- W2894070436 hasLocation W28940704363 @default.
- W2894070436 hasLocation W28940704364 @default.
- W2894070436 hasLocation W28940704365 @default.
- W2894070436 hasOpenAccess W2894070436 @default.
- W2894070436 hasPrimaryLocation W28940704361 @default.
- W2894070436 hasRelatedWork W1962611831 @default.
- W2894070436 hasRelatedWork W2035526935 @default.
- W2894070436 hasRelatedWork W2035717836 @default.
- W2894070436 hasRelatedWork W2317468121 @default.
- W2894070436 hasRelatedWork W2511942234 @default.
- W2894070436 hasRelatedWork W4249034994 @default.
- W2894070436 hasRelatedWork W4283314676 @default.
- W2894070436 hasRelatedWork W4318071363 @default.
- W2894070436 hasRelatedWork W4366694828 @default.
- W2894070436 hasRelatedWork W4376223655 @default.
- W2894070436 hasVolume "6" @default.
- W2894070436 isParatext "false" @default.
- W2894070436 isRetracted "false" @default.
- W2894070436 magId "2894070436" @default.
- W2894070436 workType "article" @default.