Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Luze, H; Nischwitz, SP; Wurzer, P; Winter, R; Spendel, S; Kamolz, LP; Bjelic-Radisic, V.
Assessment of Mastectomy Skin Flaps for Immediate Reconstruction with Implants via Thermal Imaging-A Suitable, Personalized Approach?
J Pers Med. 2022; 12(5):
Doi: 10.3390/jpm12050740
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Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Luze Hanna
- Co-Autor*innen der Med Uni Graz
- Bjelic-Radisic Vesna
- Kamolz Lars-Peter
- Nischwitz Sebastian
- Spendel Stephan
- Winter Raimund
- Wurzer Paul
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- Abstract:
- BACKGROUND: Impaired perfusion of the remaining skin flap after subcutaneous mastectomy can cause wound-healing disorders and consecutive necrosis. Personalized intraoperative imaging, possibly performed via the FLIR ONE thermal-imaging device, may assist in flap assessment and detect areas at risk for postoperative complications. METHODS: Fifteen female patients undergoing elective subcutaneous mastectomy and immediate breast reconstruction with implants were enrolled. Pre-, intra- and postoperative thermal imaging was performed via FLIR ONE. Potential patient-, surgery- and environment-related risk factors were acquired and correlated with the occurrence of postoperative complications. RESULTS: Wound-healing disorders and mastectomy-skin-flap necrosis occurred in 26.7%, whereby areas expressing intraoperative temperatures less than 26 °C were mainly affected. These complications were associated with a statistically significantly higher BMI, longer surgery duration, lower body and room temperature and a trend towards larger implant sizes. CONCLUSION: Impaired skin-flap perfusion may be multifactorially conditioned. Preoperative screening for risk factors and intraoperative skin-perfusion assessment via FLIR ONE thermal-imaging device is recommendable to reduce postoperative complications. Intraoperative detectable areas with a temperature of lower than 26 °C are highly likely to develop mastectomy-skin-flap necrosis and early detection allows individual treatment concept adaption, ultimately improving the patient's outcome.
- Find related publications in this database (Keywords)
- personalized medicine
- thermal imaging
- reconstructive breast surgery
- mastectomy-skin-flap perfusion
- mastectomy-skin-flap necrosis