Seth Ishith, Lindhardt Joakim, Jakobsen Anders, Bo Thomsen Jørn, Kiil Birgitte Jul, Rozen Warren Matthew, Kenney Peter Sinkjaer
From the Department of Plastic Surgery, Peninsula Health, Melbourne, Victoria, Australia.
Central Clinical School at Monash University, The Alfred Centre, Melbourne, Victoria, Australia.
Plast Reconstr Surg Glob Open. 2023 Sep 21;11(9):e5282. doi: 10.1097/GOX.0000000000005282. eCollection 2023 Sep.
Augmented reality (AR) technology, exemplified by devices such as the Microsoft HoloLens 2, has gained interest for its potential applications in preoperative guidance. This study explores the use of AR technology for perforator identification during deep inferior epigastric artery perforator (DIEP) flap breast reconstruction.
A case series of five patients where an AR device was used to identify perforators during DIEP flap breast reconstruction is presented. The device was utilized to recognize preoperative perforators and map their extra- and intramuscular routes. Sound and/or color Doppler confirmation was used to verify the findings.
In all five cases, the AR device successfully identified preoperative perforators and delineated their extra- and intramuscular routes. AR technology in perioperative visualization of vasculature offers the potential to enhance surgical precision and reduce operative times. By providing an augmented three-dimensional overlay of patients' vascular structures, AR can facilitate a more comprehensive understanding of individual anatomy, ultimately improving surgical outcomes.
AR technology shows promise in enhancing perforator identification efficiency and deepening understanding of perforator trajectories during preoperative planning. Nonetheless, additional research is needed to establish whether the advantages of AR technology warrant its widespread adoption for perforator identification.
以微软HoloLens 2等设备为代表的增强现实（AR）技术，因其在术前指导中的潜在应用而受到关注。本研究探讨了AR技术在腹壁下动脉穿支（DIEP）皮瓣乳房重建术中用于穿支识别的应用。
介绍了一个包含五例患者的病例系列，这些患者在DIEP皮瓣乳房重建术中使用了AR设备来识别穿支。该设备用于识别术前穿支并绘制其肌外和肌内走行。使用声音和/或彩色多普勒确认来验证结果。
在所有五例病例中，AR设备均成功识别出术前穿支并描绘了其肌外和肌内走行。AR技术在围手术期血管可视化方面具有提高手术精度和缩短手术时间的潜力。通过提供患者血管结构的增强三维叠加，AR可以促进对个体解剖结构的更全面理解，最终改善手术效果。
AR技术在提高穿支识别效率和加深术前规划中对穿支轨迹的理解方面显示出前景。尽管如此，仍需要进一步研究以确定AR技术的优势是否足以保证其在穿支识别中的广泛应用。
