Advertisement
Review Article| Volume 50, ISSUE 2, P281-288, April 2023

Operative Efficiency in Deep Inferior Epigastric Perforator Flap Reconstruction

Key Concepts and Implementation
Published:January 31, 2023DOI:https://doi.org/10.1016/j.cps.2022.11.002

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Clinics in Plastic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Tanna N.
        • Clayton J.L.
        • Roostaeian J.
        • et al.
        The volume-outcome relationship for immediate breast reconstruction.
        Plast Reconstr Surg. 2012; 129: 19-24
        • Healy C.
        • Allen Sr., R.J.
        The evolution of perforator flap breast reconstruction: twenty years after the first DIEP flap.
        J Reconstr Microsurg. 2014; 30: 121-125
        • Roy M.
        • Sebastiampillai S.
        • Haykal S.
        • et al.
        Development and validation of a risk stratification model for immediate microvascular breast reconstruction.
        J Surg Oncol. 2019; 120: 1177-1183
        • Fischer J.P.
        • Sieber B.
        • Nelson J.A.
        • et al.
        Comprehensive outcome and cost analysis of free tissue transfer for breast reconstruction: an experience with 1303 flaps.
        Plast Reconstr Surg. 2013; 131: 195-203
        • Depypere B.
        • Herregods S.
        • Denolf J.
        • et al.
        20 Years of DIEAP flap breast reconstruction: a big data analysis.
        Sci Rep. 2019; 9 ([published correction appears in Sci Rep. 2020 Jan 24;10(1):1398]): 12899
        • Palve J.S.
        • Luukkaala T.H.
        • Kääriäinen M.T.
        Predictive risk factors of complications in different breast reconstruction methods.
        Breast Cancer Res Treat. 2020; 182: 345-354
        • Prantl L.
        • Moellhoff N.
        • Fritschen U.V.
        • et al.
        Impact of smoking status in free deep inferior epigastric artery perforator flap breast reconstruction: a multicenter study.
        J Reconstr Microsurg. 2020; 36: 694-702
        • Patterson C.W.
        • Palines P.A.
        • Bartow M.J.
        • et al.
        Stratification of surgical risk in DIEP breast reconstruction based on classification of obesity.
        J Reconstr Microsurg. 2022; 38: 1-9
        • Walton L.
        • Ommen K.
        • Audisio R.A.
        Breast reconstruction in elderly women breast cancer: a review.
        Cancer Treat Rev. 2011; 37: 353-357
        • Magno-Pardon D.A.
        • Luo J.
        • Carter G.C.
        • et al.
        An analysis of the modified five-item frailty index for predicting complications following free flap breast reconstruction.
        Plast Reconstr Surg. 2022; 149: 41-47
        • Panayi A.C.
        • Foroutanjazi S.
        • Parikh N.
        • et al.
        The modified 5-item frailty index is a predictor of perioperative risk in breast reconstruction: an analysis of 40,415 cases.
        J Plast Reconstr Aesthet Surg. 2022; S1748-6815 ([published online ahead of print, 2022 Apr 25]): 00231-00235
        • Pannucci C.J.
        • Kovach S.J.
        • Cuker A.
        Microsurgery and the hypercoagulable state.
        Plast Reconstr Surg. 2015; 136: 545e-552e
        • Wang T.Y.
        • Serletti J.M.
        • Cuker A.
        • et al.
        Free tissue transfer in the hypercoagulable patient: a review of 58 flaps.
        Plast Reconstr Surg. 2012; 129: 443-453
        • Fosnot J.
        • Jandali S.
        • Low D.W.
        • et al.
        Closer to an understanding of fate: the role of vascular complications in free flap breast reconstruction.
        Plast Reconstr Surg. 2011; 128: 835-843
        • Kiely J.
        • Kumar M.
        • Wade R.G.
        The accuracy of different modalities of perforator mapping for unilateral DIEP flap breast reconstruction: a systematic review and meta-analysis.
        J Plast Reconstr Aesthet Surg. 2021; 74: 945-956
        • Wade R.G.
        • Watford J.
        • Wormald J.C.R.
        • et al.
        Perforator mapping reduces the operative time of DIEP flap breast reconstruction: a systematic review and meta-analysis of preoperative ultrasound, computed tomography and magnetic resonance angiography.
        J Plast Reconstr Aesthet Surg. 2018; 71: 468-477
        • Haddock N.T.
        • Dumestre D.O.
        • Teotia S.S.
        Efficiency in DIEP Flap breast reconstruction: the real benefit of computed tomographic angiography imaging.
        Plast Reconstr Surg. 2020; 146: 719-723
        • Rozen W.M.
        • Bhullar H.K.
        • Hunter-Smith D.
        How to assess a CTA of the abdomen to plan an autologous breast reconstruction.
        Gland Surg. 2019; 8: S291-S296
        • Thiessen F.E.F.
        • Vermeersch N.
        • Tondu T.
        • et al.
        Dynamic infrared thermography (DIRT) in DIEP flap breast reconstruction: a clinical study with a standardized measurement setup.
        Eur J Obstet Gynecol Reprod Biol. 2020; 252: 166-173
        • Gfrerer L.
        • Carty M.J.
        • Erdmann-Sager J.
        • et al.
        Abstract 77: pre-operative DIEP flap patient education class helps decrease anxiety and increase excitement/preparedness around surgery.
        Plast Reconstr Surg Glob Open. 2019; 7 (Published 2019 Apr 29): 54-55
        • Kagen A.C.
        • Hossain R.
        • Dayan E.
        • et al.
        Modern perforator flap imaging with high-resolution blood pool MR angiography.
        Radiographics. 2015; 35: 901-915
        • Mohan A.T.
        • Saint-Cyr M.
        Advances in imaging technologies for planning breast reconstruction.
        Gland Surg. 2016; 5: 242-254
        • Henn D.
        • Momeni A.
        A standardized patient education class as a vehicle to improving shared decision-making and increasing access to breast reconstruction.
        J Plast Reconstr Aesthet Surg. 2020; 73: 1534-1539
        • Bamba R.
        • Wiebe J.E.
        • Ingersol C.A.
        • et al.
        Do patient expectations of discharge affect length of stay after deep inferior epigastric perforator flap for breast reconstruction?.
        J Reconstr Microsurg. 2022; 38: 34-40
        • Thorarinsson A.
        • Fröjd V.
        • Kölby L.
        • et al.
        Blood loss and duration of surgery are independent risk factors for complications after breast reconstruction.
        J Plast Surg Hand Surg. 2017; 51: 352-357
        • Bekeny J.C.
        • Fan K.L.
        • Malphrus E.
        • et al.
        Optimizing throughput in clinical practice: lean management and efficient care in plastic and reconstructive surgery.
        Plast Reconstr Surg. 2021; 147: 772-781
        • Weichman K.E.
        • Lam G.
        • Wilson S.C.
        • et al.
        The impact of two operating surgeons on microsurgical breast reconstruction.
        Plast Reconstr Surg. 2017; 139: 277-284
        • Haddock N.T.
        • Kayfan S.
        • Pezeshk R.A.
        • et al.
        Co-surgeons in breast reconstructive microsurgery: what do they bring to the table?.
        Microsurgery. 2018; 38: 14-20
        • Stein M.J.
        • Dec W.
        • Lerman O.Z.
        Lean and six sigma methodology can improve efficiency in microsurgical breast reconstruction.
        Plast Reconstr Surg Glob Open. 2021; 9 (Published 2021 Jul 6): e3669
        • Fu T.S.
        • Msallak H.
        • Namavarian A.
        • et al.
        Surgical tray optimization: a quality improvement initiative that reduces operating room costs.
        J Med Syst. 2021; 45: 78
        • Wood B.C.
        • Konchan S.
        • Gay S.
        • et al.
        Data analysis of plastic surgery instrument trays yields significant cost savings and efficiency gains.
        Ann Plast Surg. 2021; 86: S635-S639
        • Janhofer D.E.
        • Lakhiani C.
        • Song D.H.
        Enhancing operative flow.
        Plast Reconstr Surg. 2018; 142: 246e-247e
        • Ljungqvist O.
        • Young-Fadok T.
        • Demartines N.
        The history of enhanced recovery after surgery and the ERAS society.
        J Laparoendosc Adv Surg Tech A. 2017; 27: 860-862
        • Liu V.X.
        • Rosas E.
        • Hwang J.C.
        • et al.
        The kaiser permanente Northern California enhanced recovery after surgery program: design, development, and implementation.
        Perm J. 2017; 21: 17-1003
        • Batdorf N.J.
        • Lemaine V.
        • Lovely J.K.
        • et al.
        Enhanced recovery after surgery in microvascular breast reconstruction.
        J Plast Reconstr Aesthet Surg. 2015; 68: 395-402
        • Oh C.
        • Moriarty J.
        • Borah B.J.
        • et al.
        Cost analysis of enhanced recovery after surgery in microvascular breast reconstruction.
        J Plast Reconstr Aesthet Surg. 2018; 71: 819-826
        • Offodile 2nd, A.C.
        • Gu C.
        • Boukovalas S.
        • et al.
        Enhanced recovery after surgery (ERAS) pathways in breast reconstruction: systematic review and meta-analysis of the literature.
        Breast Cancer Res Treat. 2019; 173: 65-77
        • Jablonka Eric
        • et al.
        Transversus Abdominis Plane Blocks with Single-Dose Liposomal Bupivacaine in Conjunction with a Nonnarcotic Pain Regimen Help Reduce Length of Stay following Abdominally Based Microsurgical Breast Reconstruction.
        PlastReconstrSurg. 2017; 140: 240-251https://doi.org/10.1097/PRS.0000000000003508
        • Jablonka E.M.
        • Lamelas A.M.
        • Kanchwala S.K.
        • et al.
        A simplified cost-utility analysis of inpatient flap monitoring after microsurgical breast reconstruction and implications for hospital length of stay.
        Plast Reconstr Surg. 2019; 144: 540e-549e
        • Brummett C.M.
        • Waljee J.F.
        • Goesling J.
        • et al.
        New persistent opioid use after minor and major surgical procedures in US adults.
        JAMA Surg. 2017; 152 ([published correction appears in JAMA Surg. 2019 Mar 1;154(3):272]): e170504
        • Bassiri-Tehrani B.
        • Karanetz I.
        • Bernik S.F.
        • et al.
        The timing of chemoprophylaxis in autologous microsurgical breast reconstruction.
        Plast Reconstr Surg. 2018; 142: 1116-1123
        • Wagner R.D.
        • Doval A.F.
        • Mehra N.V.
        • et al.
        Incidental findings in CT and MR angiography for preoperative planning in DIEP flap breast reconstruction.
        Plast Reconstr Surg Glob Open. 2020; 8: e3159