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138Chapter8ABSTRACTDuringadeepinferiorepigastricperforator(DIEP)flapharvesttheidentificationandlocalizationoftheepigastricarteriesanditsperforatorsarecrucialHolographicaugmentedrealityisaninnovativetechniquethatcanbeusedtovisualizethispatient-specificanatomyextractedfromacomputedtomographicscandirectlyonthepatientThisstudydescribesaninnovativeworkflowtoachievethisAsoftwareapplicationfortheMicrosoftHoloLenswasdevelopedtovisualizetheanatomyasahologramByusingabdominalneviasnaturallandmarkstheanatomyhologramisregisteredtothepatientToensurethattheanatomyhologramremainscorrectlypositionedwhenthepatientortheusermovesreal-timepatienttrackingisobtainedwithaquickresponsemarkerattachedtothepatientHolographicaugmentedrealitycanbeusedtovisualizetheepigastricarteriesanditsperforatorsinpreparationforadeepinferiorepigastricperforatorflapharvestPotentially this workflow can be used to visualize the vessels intraoperativelyFurthermore this workflowisintuitive touseandcouldbeapplied forotherflapsorothertypesofsurgery
