Laser speckle contrast imaging for perfusion monitoring during surgical reconstruction of anorectal malformations
Stenström, Pernilla LU
; Sheikh, Rafi
LU
; Hagelsteen, Kristine
LU
; Berggren, Johanna Wennström
and Malmsjö, Malin
LU
(2021)
In Journal of Pediatric Surgery Case Reports
66.
- Abstract
- Anorectal malformations (ARM) are a spectrum of congenital malformations, specifically defined by the absence of a normal anal opening. These conditions are treated surgically by posterior sagittal anorectoplasty and, in cases with perineal fistulas, perineal skin advancement is required to cover the tissue defect. Complications involving wound dehiscence are frequent, and may be due to stretching of the skin, although the exact cause has not been determined. We have used laser speckle contrast imaging to monitor the surgical repair of a recto-prostatic ARM in a 5-week-old boy, and found that perfusion is reduced upon stretching the perineal skin. The lack of oxygen and nutrients to the wound edge may impair healing and increase the risk... (More)
- Anorectal malformations (ARM) are a spectrum of congenital malformations, specifically defined by the absence of a normal anal opening. These conditions are treated surgically by posterior sagittal anorectoplasty and, in cases with perineal fistulas, perineal skin advancement is required to cover the tissue defect. Complications involving wound dehiscence are frequent, and may be due to stretching of the skin, although the exact cause has not been determined. We have used laser speckle contrast imaging to monitor the surgical repair of a recto-prostatic ARM in a 5-week-old boy, and found that perfusion is reduced upon stretching the perineal skin. The lack of oxygen and nutrients to the wound edge may impair healing and increase the risk of infection. The use of perfusion monitoring during surgical reconstruction of ARM may facilitate surgical decision-making and reduce complications in the future. (Less)
- Abstract (Swedish)
- Anorectal malformations (ARM) are a spectrum of congenital malformations, specifically defined by the absence of a normal anal opening. These conditions are treated surgically by posterior sagittal anorectoplasty and, in cases with perineal fistulas, perineal skin advancement is required to cover the tissue defect. Complications involving wound dehiscence are frequent, and may be due to stretching of the skin, although the exact cause has not been determined. We have used laser speckle contrast imaging to monitor the surgical repair of a recto-prostatic ARM in a 5-week-old boy, and found that perfusion is reduced upon stretching the perineal skin. The lack of oxygen and nutrients to the wound edge may impair healing and increase the risk... (More)
- Anorectal malformations (ARM) are a spectrum of congenital malformations, specifically defined by the absence of a normal anal opening. These conditions are treated surgically by posterior sagittal anorectoplasty and, in cases with perineal fistulas, perineal skin advancement is required to cover the tissue defect. Complications involving wound dehiscence are frequent, and may be due to stretching of the skin, although the exact cause has not been determined. We have used laser speckle contrast imaging to monitor the surgical repair of a recto-prostatic ARM in a 5-week-old boy, and found that perfusion is reduced upon stretching the perineal skin. The lack of oxygen and nutrients to the wound edge may impair healing and increase the risk of infection. The use of perfusion monitoring during surgical reconstruction of ARM may facilitate surgical decision-making and reduce complications in the future. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/0de0d5fa-fade-4726-ae20-aed574490272
- author
- Stenström, Pernilla
LU
; Sheikh, Rafi
LU
; Hagelsteen, Kristine
LU
; Berggren, Johanna Wennström
and Malmsjö, Malin
LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Pediatric Surgery Case Reports
- volume
- 66
- article number
- 101793
- publisher
- Elsevier
- external identifiers
-
- scopus:85099966359
- ISSN
- 2213-5766
- DOI
- 10.1016/j.epsc.2021.101793
- language
- English
- LU publication?
- yes
- id
- 0de0d5fa-fade-4726-ae20-aed574490272
- date added to LUP
- 2021-02-02 00:21:44
- date last changed
- 2022-12-01 06:13:16
@article{0de0d5fa-fade-4726-ae20-aed574490272,
abstract = {{Anorectal malformations (ARM) are a spectrum of congenital malformations, specifically defined by the absence of a normal anal opening. These conditions are treated surgically by posterior sagittal anorectoplasty and, in cases with perineal fistulas, perineal skin advancement is required to cover the tissue defect. Complications involving wound dehiscence are frequent, and may be due to stretching of the skin, although the exact cause has not been determined. We have used laser speckle contrast imaging to monitor the surgical repair of a recto-prostatic ARM in a 5-week-old boy, and found that perfusion is reduced upon stretching the perineal skin. The lack of oxygen and nutrients to the wound edge may impair healing and increase the risk of infection. The use of perfusion monitoring during surgical reconstruction of ARM may facilitate surgical decision-making and reduce complications in the future.}},
author = {{Stenström, Pernilla and Sheikh, Rafi and Hagelsteen, Kristine and Berggren, Johanna Wennström and Malmsjö, Malin}},
issn = {{2213-5766}},
language = {{eng}},
publisher = {{Elsevier}},
series = {{Journal of Pediatric Surgery Case Reports}},
title = {{Laser speckle contrast imaging for perfusion monitoring during surgical reconstruction of anorectal malformations}},
url = {{http://dx.doi.org/10.1016/j.epsc.2021.101793}},
doi = {{10.1016/j.epsc.2021.101793}},
volume = {{66}},
year = {{2021}},
}