# Identifying Perforators in Reconstructive Surgery

- Link: https://sifsof.com/clinical-apps/identifying-perforators-in-reconstructive-surgery/
- Published: 2020-02-08T14:22:32+00:00
- Author: Developer

Pedicled perforator flaps allow the surgeon to relocate local tissue and facilitate
a simple reorganization, which enables an optimal cosmetic and functional reconstructive
outcome. They provide a fast and simple, single-stage solution and offer an alternative
to microsurgery or skin graft.

Handheld [Doppler](https://sifsof.com/product-category/ultrasound-scanner/color-doppler-ultrasound-scanner/)
and color Doppler ultrasonography (CDU) have been shown to be useful to identify
perforators and aid in the planning of flap reconstructions 

###  **Which ultrasound scanner is best for identifying perforators in reconstructive surgery? **

 To map perforator locations an 8MHz Doppler device is advised the [SIFULTRAS-5.34](https://sifsof.com/product/linear-wireless-ultrasound-scanner-sifultras-5-34/).
CDU provides additional visual information about available soft tissue, vessel flow
patterns, vessel course through the soft tissue as well as perforator size and location.

 Doppler sonography is useful for locating the position of individual perforating
vessels, making it much easier to find them during the operation 

The individual perforating vessels have a high degree of anatomical variation, therefore
it is desirable to conduct a careful examination of them before undertaking a perforator
flap operation.

Locating the vessels beforehand makes performing the operative procedure much easier.

  The CDU examination could easily identify the locations, numbers and the courses
of the cutaneous perforators and help in the useful assessment of vascularity to
confirm the existence and location of appropriate perforators for the design of 
the SDMC flap.

Using this CDU examination, difficulties owing to the anatomical variation of perforators
are easily overcome, simplifying flap harvest.

Identifying perforatores are done by [Plastic and _reconstructive surgeons_](https://sifsof.com/product-category/doctor-specialties/plastic-surgeon/).

References: [The Value of Preoperative Doppler Sonography for Planning Free Perforator Flaps](https://www.researchgate.net/publication/12473664_The_Value_of_Preoperative_Doppler_Sonography_for_Planning_Free_Perforator_Flaps),
[Color Doppler ultrasonography targeted reconstruction using pedicled perforator flaps](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153870/),
[Color Doppler ultrasound assessment for identifying perforator arteries of the second dorsal metacarpal flap](https://journals.sagepub.com/doi/pdf/10.1177/2309499016684744).

![](https://sifsof.com/wp-content/uploads/2020/02/Identifying-Perforators-in-Reconstructive-
Surgery-1024x337.png)

 * ![Linear Wireless Ultrasound Scanner SIFULTRAS-5.34 - Color Doppler main](https://
   sifsof.com/wp-content/uploads/2018/11/Linear-color-portable-ultrasound-scanner-
   SIFULTRAS-5.34--300x300.jpg)
 * Linear Wireless Ultrasound Scanner SIFULTRAS-5.34 – Color Doppler
 * ![Color Doppler WiFi Linear Ultrasound Scanner 4-12 MHz SIFULTRAS-5.17](https://
   sifsof.com/wp-content/uploads/2019/12/SUFULTRAS-5.17-1-300x300.jpg)
 * Color Doppler WiFi Linear Ultrasound Scanner 4-12 MHz SIFULTRAS-5.17
 * ![Linear 5-10 MHz Color Doppler SIFULTRAS-9.52 Ultrasound System main](https://
   sifsof.com/wp-content/uploads/2019/07/Color-Doppler-Ultrasound-System-Linear-
   5-10-MHz-SIFULTRAS-9.52-300x300.jpg)
 * Linear 5-10 MHz Color Doppler SIFULTRAS-9.52 Ultrasound System

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 _Although the information we provide is used but doctors, radiologists, medical
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in this article is for consideration only. We can’t be responsible for misuse of
the device nor for the device suitability with each clinical application or procedure
mentioned in this article.
Doctors, radiologists or medical staff must have the 
proper training and skills to perform the procedure with each ultrasound scanner
device.