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49. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPÄRC), 42. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen e. V. (DGPRÄC), 16. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen e. V. (VDÄPC)

29.09. - 01.10.2011, Innsbruck

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Remote real-time monitoring of free flaps via smartphone photography and 3G wireless internet: a prospective study evidencing diagnostic accuracy

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  • author Holger Engel - BG-Unfallklinik Ludwighafen, Klinik für Hand-, Plast. u. Rekonstr. Chirurgie, Ludwigshafen
  • E. Gazyakan - Dep. of Hand, Plastic & Reconstructive Surgery;-Burn Center-, BG Trauma Center; Ruprecht-Karls University of Heidelberg, Ludwigshafen, Germany
  • J.J. Huang - Division of Reconstructive Microsurgery; Dep. of Plastic & Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan
  • C.K. Tsao - Division of Reconstructive Microsurgery; Dep. of Plastic & Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan
  • C.Y. Lin - Division of Reconstructive Microsurgery; Dep. of Plastic & Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan
  • P.Y. Chou - Division of Reconstructive Microsurgery; Dep. of Plastic & Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan
  • E. Brey - Pritzker Institute of Medical Engineering, Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL
  • S. Henry - Seton Institute of Reconstructive Plastic Surgery, Austin,TX
  • M.H. Cheng - Division of Reconstructive Microsurgery; Dep. of Plastic & Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan
  • M. Lehnhardt - Dep. of Hand, Plastic & Reconstructive Surgery;-Burn Center-, BG Trauma Center; Ruprecht-Karls University of Heidelberg, Ludwigshafen, Germany

Österreichische Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie. Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 49. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPÄRC), 42. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 16. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Innsbruck, 29.09.-01.10.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11dgpraecV108

doi: 10.3205/11dgpraec109, urn:nbn:de:0183-11dgpraec1097

Published: September 27, 2011

© 2011 Engel et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: This prospective study was to compare the accuracy rate between remote smartphone photographic assessments and in-person examinations for free flaps’ monitoring.

Materials and methods: One hundred and three consecutive free flaps were monitored with in-person examinations and assessed remotely by three surgeons (Team A) via photographs transmitted over smartphone. The other four surgeons used the traditional in-personexaminations as Team B. The response time to re-exploration was defined as the interval between when a flap was evaluated as compromised by the nurse/house officer and when the decision was made for re-exploration.

Results: The accuracy rate was 98.7% and 94.2% in inperson and smartphone photographic assessments, respectively. The response time of 8 6 3 min in Team A was statistically shorter than the 180 6 104 min in Team B (P 5 0.01 by the Mann–Whitney test).

Conclusions: The remote smartphone photography assessment has a comparable accuracy rate and shorter response time compared with in-person examination for free flap monitoring