The purpose of this study was to perform a quantitative perfusion study of the undermined abdominal skin in deep inferior epigastric artery perforator flap breast reconstruction patients in order to obtain more knowledge on perfusion dynamics. Laser Doppler perfusion imaging (LDPI) was used to evaluate this. Microcirculatory changes were monitored in the abdominal skin of 20 consecutive patients. Measurements were taken and recorded within four standardized zones covering the skin between the xiphoid process and the upper incisional boundary of the flap (zone 1-4; cranial to caudal).
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Perfusion of the abdominal zones measured in mean perfusion units
Timeframe: Preoperative
Perfusion of the abdominal zones measured in mean perfusion units
Timeframe: two hours (After raising the flap)
Perfusion of the abdominal zones measured in mean perfusion units
Timeframe: Three hours (After undermining)
Perfusion of the abdominal zones measured in mean perfusion units
Timeframe: Five hours (After abdominal closure)
Perfusion of the abdominal zones measured in mean perfusion units
Timeframe: Postoperative day 1 (POD1)
Perfusion of the abdominal zones measured in mean perfusion units
Timeframe: Postoperative day 3 (POD3)
Perfusion of the abdominal zones measured in mean perfusion units
Timeframe: Postoperative day 7 (POD7)