Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Feb 22;8(4):227-230.
doi: 10.1515/iss-2023-0040. eCollection 2023 Dec.

Imaging in reconstructive microsurgery - current standards and latest trends

Affiliations
Review

Imaging in reconstructive microsurgery - current standards and latest trends

Beate Blank et al. Innov Surg Sci. .

Abstract

In microsurgery, many different imaging techniques are available in both flap and lymphatic surgery that all come with their own advantages and disadvantages. In flap surgery, CT angiography is considered as the gold standard. Among others, Doppler ultrasound, color Doppler ultrasound, ICG, and smartphone-based thermal cameras are valuable imaging techniques. In lymphatic surgery, photoacoustic imaging, laser tomography, contrast-enhanced magnetic resonance imaging, and high frequency ultrasound stand available to surgeons next to the current standard of lymphoscintigraphy. It is crucial to know the advantages and disadvantages to various techniques and highly adviced to microsurgeons be capable of using a variety of them.

Keywords: current; imagings; latest; microsurgery; reconstructive; standards.

PubMed Disclaimer

Conflict of interest statement

Competing interests: The authors state no conflict of interest.

References

    1. Visconti G, Hayashi A, Hong JP. The new imaging techniques in reconstructive microsurgery: a new revolution in perforator flaps and lymphatic surgery. Arch Plast Surg. 2022;49:471–2. doi: 10.1055/s-0042-1751099. - DOI - PMC - PubMed
    1. Frank K, Strobel A, Ludolph I, Hauck T, May MS, Beier JP, et al. Improving the safety of DIEP flap transplantation: detailed perforator anatomy study using preoperative CTA. J Pers Med. 2022;12:1–13. - PMC - PubMed
    1. Colakoglu S, Tebockhorst S, Freedman J, Douglass S, Siddikoglu D, Chong TW, et al. CT angiography prior to DIEP flap reconstruction: a randomized controlled trial. J Plast Reconstr Aesthet Surg. 2022;75:45–51. doi: 10.1016/j.bjps.2021.05.050. - DOI - PubMed
    1. Thimmappa ND. MRA for preoperative planning and postoperative management of perforator flap surgeries: a review. J Magn Reson Imaging. 2024;59:797–811. doi: 10.1002/jmri.28946. - DOI - PubMed
    1. Lindsey JT, Smith C, Lee J, St Hilaire H, Lindsey JT. Mapping 216 perforator flaps using highly portable tablet-based color Doppler ultrasound (PT-CDU) J Reconstr Microsurg. 2022;38:115–20. doi: 10.1055/s-0041-1731676. - DOI - PubMed

LinkOut - more resources