The use of color duplex in precise preoperative planning of the anterolateral thigh (ALT) perforator flap
Zaki, B., Abo Gamrah, S., Shaker, A., Hemeda, M. (2010). The use of color duplex in precise preoperative planning of the anterolateral thigh (ALT) perforator flap. EKB Journal Management System, 3(1), 85-92. doi: 10.21608/asjs.2010.177488
Basim M Zaki; Sherif H Abo Gamrah; Ayman A Shaker; Mustafa M Hemeda. "The use of color duplex in precise preoperative planning of the anterolateral thigh (ALT) perforator flap". EKB Journal Management System, 3, 1, 2010, 85-92. doi: 10.21608/asjs.2010.177488
Zaki, B., Abo Gamrah, S., Shaker, A., Hemeda, M. (2010). 'The use of color duplex in precise preoperative planning of the anterolateral thigh (ALT) perforator flap', EKB Journal Management System, 3(1), pp. 85-92. doi: 10.21608/asjs.2010.177488
Zaki, B., Abo Gamrah, S., Shaker, A., Hemeda, M. The use of color duplex in precise preoperative planning of the anterolateral thigh (ALT) perforator flap. EKB Journal Management System, 2010; 3(1): 85-92. doi: 10.21608/asjs.2010.177488

The use of color duplex in precise preoperative planning of the anterolateral thigh (ALT) perforator flap

Ain Shams Journal of Surgery
Article 11, Volume 3, Issue 1, January 2010, Page 85-92  XML PDF (137.38 K)
Document Type: Original Article
DOI: 10.21608/asjs.2010.177488
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Authors
Basim M Zaki1; Sherif H Abo Gamrah2; Ayman A Shaker1; Mustafa M Hemeda1
1Department of Plastic and Reconstructive Surgery, Ain Shams University, Cairo, Egypt
2Department of Radiology, El-Mataria Teaching Hospital, Cairo, Egypt
Abstract
Perforator flaps from the thigh region carry many advantages in the reconstructive paradigm, yet they still have some disadvantages, mainly variation in the vascular anatomy. The current study was conducted on nine patients planned for anterolateral thigh flap elevation and were examined   preoperatively   by   doppler,   color   duplex   and   angiographic   studies.
Results: It was found that there was a statistically significant difference between the number of perforators detected by doppler and those detected by color duplex on either side; all perforators that were detected by preoperative color duplex examination were found intra- operatively although in one patient the perforator was detected further away from the planned site. The duplex alone could be a reliable tool in detecting & locating perforators accurately giving the surgeon enough data about the perforator's anatomy necessary for performing the procedure and elevating the flap safely and promptly.
Conclusion: Color Duplex alone is a reliable method for detection of the perforators of the anterolateral thigh flap.
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