A simple adjunct to facilitate hand held Doppler perforator localisation following microsurgical breast reconstruction

摘要

Accurate assessment of the perfusion of free tissue transfers is a challenge for surgeons undertaking micro-vascular reconstructive procedures. The hand held Doppler is the most commonly used adjunctive free flap monitoring technique in recent published studies. Intra-operatively, the surgeon often marks the anasto-motic site on the skin to aid post-operative Doppler localisation for the ward nurses and junior medical staff. Surgeons commonly use ink to mark the site. In our experience, the ink is a short term measure.