Optimizing Efficiency in Deep Inferior Epigastric Perforator Flap Breast Reconstruction

Abstract

Efficiency is optimized by preoperative planning with computed tomography/magnetic resonance imaging angiogram, a dedicated operating room team, including 2 microsurgeons and a systematic approach for surgery. The BMI may not significantly affect the duration of surgery.

Surgical Duration Impacts Venous Thromboembolism Risk in Microsurgical Breast Reconstruction

“…Mean operative time in this national, multi-institutional cohort of 4,782 patients was 8:31 hours:minutes (SD: 2:59), which is similar to, or slightly longer than, the mean operative times reported in single-institution, presumably "expert" series, which ranged from 3:21 to 8:30 hours:minutes. [37][38][39] Average unilateral duration was 8:14 hours:minutes, while average bilateral duration was 9:05 hours:minutes. In case series reports, bilateral cases were approximately 2.5 hours longer than unilateral cases.…”

Integrating Imaging Techniques in Deep Inferior Epigastric Perforator Breast Reconstruction.

“…Because of numerous congenital and acquired anatomical variations of the DIEP branching pattern, thorough knowledge of the perforators topography and perforator dominance is essential for accurate preoperative planning. [3][4][5][6][7][8] The evolution of imaging technology has significantly contributed to the enhancement of predictability and reproducibility of DIEP breast reconstruction outcomes. Meticulous pre-operative imaging of the perforator flap and ISSN: 2320-5407 Int.…”

Laser Speckle Contrast Imaging in Reconstructive Surgery

“…breast, the scar is easy to hide and the patient does not have to be turned on the operating table. 25 Several other types of free flaps for breast reconstruction are based on the same principle as the DIEP flap, i.e. they consist only of skin and fat and therefore cause relatively little donor site morbidity.…”