Blood oxygenation monitoring using hyperspectral imaging after flap surgery

In this paper, we present a new method for the assessment of skin flap perfusion based on the non-invasive monitoring of skin blood oxygenation using hyperspectral imaging. This method consists of generation of oxyhemoglobin and deoxyhemoglobin maps in skin flap from hyperspectral image using an analytic model based on Beer-Lambert law. The results obtained on a fasciocutaneous sural flap have revealed that the oxyhemoglobin and deoxyhemoglobin maps facilitate the visualization of some differences between different areas of the flap, an aspect that clinical examination fails to do. In conclusion, the proposed method could provide a new option for a more accurate assessment of flap survival.