Imperial College London
Alternate

Richard M Kwasnicki PhD MRCS

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Research Fellow
 
 
 
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Contact

 

+44 (0)20 3312 5140richard.kwasnicki07

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kwasnicki:2021,
author = {Kwasnicki, R and Noakes, A and Banhidy, N and Hettiaratchy, S},
journal = {Plastic and Reconstructive Surgery Global Open},
title = {Quantifying the limitations of clinical and technology-based flap monitoring strategies using a systematic thematic analysis},
url = {http://hdl.handle.net/10044/1/89665},
volume = {7},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Aims: Multiple techniques exist to monitor free flap viability postoperatively, varying with practicaland personal preference, yet the limitations of each technique remain unquantified. Thissystematic review aims to identify the most commonly reported limitations of these techniques inclinical practice.Methods: A systematic review was conducted according to PRISMA guidelines using MEDLINE,EMBASE and Web of Science with search criteria for postoperative free flap monitoringtechniques. Search results were independently screened using defined criteria by two authorsand a senior clinician. Limitations of the techniques found in the discussion section of eligiblepapers were recorded and categorised using thematic analysis.Results: A total of 4699 records were identified. 2210 articles met the eligibility criteria and weresubsequently reviewed, with 195 papers included in the final analysis. The most frequentlyreported limitations of clinical monitoring were: interpretation requiring expertise (25% of relatedpapers), unsuitability for buried flaps (21%), and lack of quantitative/objective values (19%). Fornon-invasive technologies: lack of quantitative/objective values (21%), cost (16%) andinterpretation requiring expertise (13%). For invasive technologies: application requiring expertise(25%), equipment design and malfunction (13%) and cost (13%).Conclusions: This is the first systematic review to quantify the limitations of different flapmonitoring techniques as reported in the literature. This information may enhance the choice inmonitoring strategy for a reconstructive service and inform the development and refinement ofnew flap monitoring technologies.
AU  - Kwasnicki,R
AU  - Noakes,A
AU  - Banhidy,N
AU  - Hettiaratchy,S
PY  - 2021///
SN  - 2169-7574
TI  - Quantifying the limitations of clinical and technology-based flap monitoring strategies using a systematic thematic analysis
T2  - Plastic and Reconstructive Surgery Global Open
UR  - http://hdl.handle.net/10044/1/89665
VL  - 7
ER  -
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