BACKGROUND: The purpose of this study is to describe the early experience of a single surgeon just out of training, including preoperative conditioning, surgical approach, and outcomes in bilateral deep inferior epigastric artery perforator (DIEP) flap breast reconstruction patients. METHODS: We retrospectively reviewed 54 consecutive patients who underwent 108 DIEP flap breast reconstructions performed by a single surgeon over an initial 2.5-year period. RESULTS: There was 100% overall flap survival. The unplanned reoperation rate was 7.6% (n = 4). Minor complications including nonoperative infection, minor wound dehiscence, and donor site seroma occurred in 26% of patients (n = 14). Significant late complications were abdominal wall bulge (n = 1) and fat necrosis < 10% of volume (n = 1). Tissue expander explantation due to infection occurred in 25% of attempted staged patients (two of eight); this did not seem to compromise their oncologic treatment or final reconstruction outcome. CONCLUSION: This study demonstrates the efficacy of the DIEP flap for bilateral autologous breast reconstruction in the immediate, staged, and delayed settings.
BACKGROUND: The purpose of this study is to describe the early experience of a single surgeon just out of training, including preoperative conditioning, surgical approach, and outcomes in bilateral deep inferior epigastric artery perforator (DIEP) flap breast reconstruction patients. METHODS: We retrospectively reviewed 54 consecutive patients who underwent 108 DIEP flap breast reconstructions performed by a single surgeon over an initial 2.5-year period. RESULTS: There was 100% overall flap survival. The unplanned reoperation rate was 7.6% (n = 4). Minor complications including nonoperative infection, minor wound dehiscence, and donor site seroma occurred in 26% of patients (n = 14). Significant late complications were abdominal wall bulge (n = 1) and fat necrosis < 10% of volume (n = 1). Tissue expander explantation due to infection occurred in 25% of attempted staged patients (two of eight); this did not seem to compromise their oncologic treatment or final reconstruction outcome. CONCLUSION: This study demonstrates the efficacy of the DIEP flap for bilateral autologous breast reconstruction in the immediate, staged, and delayed settings.
Authors: Michele A Manahan; Basak Basdag; Christopher L Kalmar; Sachin M Shridharani; Michael Magarakis; Lisa K Jacobs; Robert W Thomsen; Gedge D Rosson Journal: Microsurgery Date: 2013-08-28 Impact factor: 2.425
Authors: Gudjon L Gunnarsson; Mikkel Børsen-Koch; Henrik T Nielsen; Andrew Salzberg; Jørn B Thomsen Journal: Plast Reconstr Surg Glob Open Date: 2015-07-08
Authors: Andri Thorarinsson; Victoria Fröjd; Lars Kölby; Johan Ljungdal; Charles Taft; Hans Mark Journal: Plast Reconstr Surg Glob Open Date: 2017-06-21
Authors: Carolyn L Mulvey; Carisa M Cooney; Francis F Daily; Elizabeth Colantuoni; Onyebuchi U Ogbuago; Damon S Cooney; Ariel N Rad; Michele A Manahan; Gedge D Rosson; Justin M Sacks Journal: Plast Reconstr Surg Glob Open Date: 2013-06-07