5
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Revisión sistemática sobre el uso de termografía en la evaluación de colgajos de perforantes Translated title: Systematic review of the use of infrared thermography in the assessment of perforator flaps

      review-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen Introducción y objetivo. Los colgajos de perforantes ganan cada vez más popularidad en todas las áreas de la Cirugía Reconstructiva. Su éxito radica en la identificación de vasos viables con buen flujo, sin embargo, la localización, el número y el trayecto de las perforantes suele ser variable, lo que hace que la cirugía sea técnicamente demandante. La planificación preoperatoria es un paso muy importante para asegurar el éxito de la cirugía. La termografía es una técnica prometedora que determina la temperatura de un cuerpo a través de la captación de radiaciones infrarrojas utilizando cámaras especializadas. Al evaluar la temperatura, se evalúa indirectamente la vascularización subyacente. Realizamos una revisión bibliográfica de las aplicaciones de la termografía en la cirugía de colgajos de perforantes, tanto en la planificación de colgajos como en su monitoreo. Material y método. Realizamos una revisión sistemática de acuerdo con la declaración PRISMA en las bases de datos PubMed, Medline, LILACS, MEDES y SciELO, de los artículos que analizaran la aplicación de la termografía en la búsqueda, identificación o monitoreo de colgajos perforantes sin límite temporal. Resultados. Evaluamos un total de 22 artículos de los cuales 12 corresponden al uso de la termografía convencional y 9 al uso de termografía asociada a teléfonos inteligentes. Conclusiones. La termografía es una técnica simple, accesible, no invasiva y prometedora, sobre la que diversos estudios muestran su utilidad para la detección de perforantes, evaluación intraoperatoria de colgajos y para su monitoreo posterior. Sin embargo, sus limitaciones y la gran heterogeneidad en las metodologías y resultados de los artículos, debería considerarse su uso, por el momento, como un complemento a otros métodos más efectivos.

          Translated abstract

          Abstract Background and objective. Perforator based flaps have dramatically grown in popularity. However, these flaps are a lot harder to harvest because of the high anatomical variability in terms of location, course and size. Therefore, preoperative perforator mapping has become an integral part of the reconstructive surgery. Thermography is an imaging technique, showing promising results, in preoperative perforator mapping, intraoperative perfusion assessment and postoperative flap monitoring based on visualizing the infrared radiation emitted by the skin, and correlating it with tissue temperature. The aim of our study in to perform a review of the current evidence for the use of thermography in preoperative perforator mapping, intraoperative perfusion assessment and postoperative flap monitoring. Methods. We performed a systematic review in PubMed, Medline, LILACS, MEDES y SciELO to evaluate the current evidence regarding the use of infrared thermography in the assessment of perforator flaps. Results. We evaluate a total of 22 articles of which 12 correspond to the use of conventional thermography and 9 to the use of thermography associated with smartphones. Conclusions. Thermography is a simple, non-ionising, non-invasive promising method of assessing perforator location and quality, intraoperative perfusion assessment and postoperative flap monitoring. Due to its limitations, currently, it should be used as an adjunctive tool together with established imaging techniques.

          Related collections

          Most cited references41

          • Record: found
          • Abstract: not found
          • Article: not found

          Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Inferior epigastric artery skin flaps without rectus abdominis muscle.

            The rectus abdominis musculocutaneous flap has many advantages, but its disadvantages are also well-known. These are the possibility of abdominal herniation and, in certain situations, its bulk. To overcome these problems, an inferior epigastric artery skin flap without rectus abdominis muscle, pedicled on the muscle perforators and the proximal inferior deep epigastric artery, have been used in two patients. A large flap without muscle can survive on a single muscle perforator.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Dynamic infrared thermography.

              This article describes how dynamic infrared thermography (DIRT) can be used in autologous breast reconstruction with a deep inferior epigastric perforator flap. This noninvasive and noncontact technique for indirect monitoring of skin blood perfusion can be used in the preoperative planning and intraoperative evaluation of flap perfusion, as well as the postoperative monitoring of perfusion dynamics of DIEP flaps. DIRT provides valuable information on the perfusion physiology of perforators. Copyright © 2011 Elsevier Inc. All rights reserved.
                Bookmark

                Author and article information

                Journal
                cpil
                Cirugía Plástica Ibero-Latinoamericana
                Cir. plást. iberolatinoam.
                Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) (Madrid, Madrid, Spain )
                0376-7892
                1989-2055
                December 2021
                : 47
                : 4
                : 411-424
                Affiliations
                [1] Buenos Aires Buenos Aires orgnameUniversidad de Buenos Aires orgdiv1Servicio de Cirugía Plástica Argentina
                Article
                S0376-78922021000400411 S0376-7892(21)04700400411
                10.4321/s0376-78922021000400012
                e43b3a94-4fd6-4412-9002-e441b6fbebd1

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 29 October 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 41, Pages: 14
                Product

                SciELO Spain

                Categories
                Reconstructiva

                Colgajos perforantes,Colgajos,Perforantes,Termografa,Perforator flaps,Flaps,Perforators,Termography

                Comments

                Comment on this article