Blood flow dynamics and sensitivity in breasts after reconstruction with DIEP-flap
(2014) In Journal of Plastic Surgery and Hand Surgery 48(6). p.407-411- Abstract
- A method of breast reconstruction is based on the Deep Inferior Epigastric Perforator (DIEP) technique. Skin and fat are transplanted from the abdomen to the chest; blood vessels are reconnected through microsurgery. Nerves are, however, left unconnected. This study aims to evaluate the blood flow and reinnervation of blood vessels and skin in breasts reconstructed by DIEP flaps without neural repair. In all, DIEP flaps of 10 patients were tested at an average of 16.3 months postoperatively. Blood flow was assessed by PeriScan PIM II System, both before and after indirect heating. Tactile perception threshold was assessed by Semmes-Weinstein monofilament and thermal sensibility by SENSELab MSA Thermotest. The patients' contralateral... (More)
- A method of breast reconstruction is based on the Deep Inferior Epigastric Perforator (DIEP) technique. Skin and fat are transplanted from the abdomen to the chest; blood vessels are reconnected through microsurgery. Nerves are, however, left unconnected. This study aims to evaluate the blood flow and reinnervation of blood vessels and skin in breasts reconstructed by DIEP flaps without neural repair. In all, DIEP flaps of 10 patients were tested at an average of 16.3 months postoperatively. Blood flow was assessed by PeriScan PIM II System, both before and after indirect heating. Tactile perception threshold was assessed by Semmes-Weinstein monofilament and thermal sensibility by SENSELab MSA Thermotest. The patients' contralateral breasts were used as controls. The blood flow of the flaps was statistically significantly lower than in the control breasts, both before and after indirect heating. The change in blood flow after indirect heating did, however, not significantly differ when comparing the breasts. All flaps regained deep pressure sensibility in all four quadrants. Five patients regained even better sensibility in one of their quadrants. Seven patients regained perception of cold stimuli, five perceived warmth. This study has shown that skin blood flow regulation is present in DIEP flaps 1 year after reconstruction. Blood flow dynamics are very similar to those in the normal breast. There is also a recovery of tactile and thermal sensibility, but this study has not shown any clear parallels between recovery blood flow, tactile sensibility and thermal sensibility. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4982930
- author
- Klasson, Stina LU ; Svensson, Karin ; Wollmer, Per LU ; Velander, Patrik LU and Svensson, Henry LU
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Breast reconstruction, perforator, microvascular, plastic surgery, tumour
- in
- Journal of Plastic Surgery and Hand Surgery
- volume
- 48
- issue
- 6
- pages
- 407 - 411
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000345214500010
- scopus:84911396369
- ISSN
- 2000-656X
- DOI
- 10.3109/2000656X.2014.903194
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Surgery Research Unit (013242220), Reconstructive Surgery (013240300), Clinical Physiology and Nuclear Medicine Unit (013242320)
- id
- 4c7745de-505a-4bb4-a397-e6fa2881df96 (old id 4982930)
- date added to LUP
- 2016-04-01 11:06:41
- date last changed
- 2023-09-28 21:25:14
@article{4c7745de-505a-4bb4-a397-e6fa2881df96, abstract = {{A method of breast reconstruction is based on the Deep Inferior Epigastric Perforator (DIEP) technique. Skin and fat are transplanted from the abdomen to the chest; blood vessels are reconnected through microsurgery. Nerves are, however, left unconnected. This study aims to evaluate the blood flow and reinnervation of blood vessels and skin in breasts reconstructed by DIEP flaps without neural repair. In all, DIEP flaps of 10 patients were tested at an average of 16.3 months postoperatively. Blood flow was assessed by PeriScan PIM II System, both before and after indirect heating. Tactile perception threshold was assessed by Semmes-Weinstein monofilament and thermal sensibility by SENSELab MSA Thermotest. The patients' contralateral breasts were used as controls. The blood flow of the flaps was statistically significantly lower than in the control breasts, both before and after indirect heating. The change in blood flow after indirect heating did, however, not significantly differ when comparing the breasts. All flaps regained deep pressure sensibility in all four quadrants. Five patients regained even better sensibility in one of their quadrants. Seven patients regained perception of cold stimuli, five perceived warmth. This study has shown that skin blood flow regulation is present in DIEP flaps 1 year after reconstruction. Blood flow dynamics are very similar to those in the normal breast. There is also a recovery of tactile and thermal sensibility, but this study has not shown any clear parallels between recovery blood flow, tactile sensibility and thermal sensibility.}}, author = {{Klasson, Stina and Svensson, Karin and Wollmer, Per and Velander, Patrik and Svensson, Henry}}, issn = {{2000-656X}}, keywords = {{Breast reconstruction; perforator; microvascular; plastic surgery; tumour}}, language = {{eng}}, number = {{6}}, pages = {{407--411}}, publisher = {{Taylor & Francis}}, series = {{Journal of Plastic Surgery and Hand Surgery}}, title = {{Blood flow dynamics and sensitivity in breasts after reconstruction with DIEP-flap}}, url = {{http://dx.doi.org/10.3109/2000656X.2014.903194}}, doi = {{10.3109/2000656X.2014.903194}}, volume = {{48}}, year = {{2014}}, }