45: Perfusion-Related Complications Are Similar for Flaps Harvested on Medial or Lateral Branch Deep Inferior Epigastric Artery Perforators

Garvey, PB; Salavati, Seroos; Feng, Lei; Butler, CE

doi:10.1097/01.prs.0000396732.45712.86

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2014

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“…[10][11][12] In addition, many studies defined a range of time postoperatively used to detect and diagnosis fat necrosis, generally in the range of 2 to 6 months. 2,10,[12][13][14][15][16][17][18][19] The diagnosis and workup of fat necrosis also varied widely between studies. Nearly all studies initially detected areas of suspected fat necrosis by clinical examination.…”

Section: Resultsmentioning

confidence: 98%

Defining Fat Necrosis in Plastic Surgery

Rao

Saadeh

2014

Plastic and Reconstructive Surgery

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Based on the articles reviewed in this article, a more uniform definition needs to exist that is clearly defined in all articles that report on fat necrosis. The authors suggest defining fat necrosis as a palpable, discrete, and persistent subcutaneous firmness found postoperatively that measures at least 1 cm during physical examination. Fat necrosis can be identified and confirmed by imaging and histopathology or through intraoperative findings. The authors provide a classification system for fat necrosis that can be used by clinicians to describe fat necrosis into varying grades of severity to ultimately help guide clinical decision-making.

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