ArticleJournal of plastic and reconstructive surgery2025
Near-infrared Spectroscopy-guided Flap Delay: For Flap Training and Timing of Pedicle Division.
Article in Journal of plastic and reconstructive surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Adipofascial Flap Monitoring Using Masimo Regional Oximetry: A Case Report and Literature Review on Near-Infrared Spectroscopy for Flap Monitoring.Archives of plastic surgery · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Staged pedicled flaps continue to be a safe and effective technique for reconstructing complex wounds when free tissue transfer is not possible. To induce ischemic preconditioning, serial cross-clamping of the pedicle is performed, which is also known as flap training. Current protocols for flap training are based on arbitrary schedules of progressively increasing periods of ischemia. We describe a simple, safe, and reproducible technique of using near-infrared spectroscopy to objectively guide the process of pedicle cross-clamping and aid in determining the optimal timing for flap division. This technique enables surgeons to adopt a more aggressive clamping schedule based on objective parameters, tailors the clamping schedule to the physiologically tolerable limits of each flap, and allows for early flap division. The principles, feasibility, and advantages of using near-infrared spectroscopy to guide pedicled flap training and early flap division are discussed.
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Registered trials
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