Development of a surgical algorithm and optimized management of complications - based on a review of 706 abdominal free flaps for breast reconstruction

Medical Science Monitor

Volumn 16, Issue 11, 2010, Pages 518-522

  Langer, Stefan ^a   Munder, Beatrix ^a   Seidenstuecker, Katrin ^a   Richrath, Philipp ^a   Behrendt, Philipp ^a   Kneser, Ulrich ^b   Horch, Raymund E ^b   Andrews, Brian T ^c   Andree, Christoph ^a  

^a HEINRICH HEINE UNIVERSITY   (Germany)

^b UNIVERSITY HOSPITAL ERLANGEN   (Germany)

^c BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Breast reconstruction; Dieap flap; Free flap; Outcome; Protocol

Indexed keywords

ACETYLSALICYLIC ACID; DEXTRAN; HEPARIN;

ABDOMINAL WALL HERNIA; BREAST DISEASE; BREAST RECONSTRUCTION; CLINICAL DECISION MAKING; FAT NECROSIS; GRAFT FAILURE; HEMATOMA; HUMAN; INTRADUCTAL CARCINOMA; MAJOR CLINICAL STUDY; MICROSURGERY; PERFORATOR FLAP; POSTOPERATIVE COMPLICATION; PROCESS OPTIMIZATION; RETROSPECTIVE STUDY; REVIEW; VENOUS CONGESTION; WEAKNESS; WOUND HEALING IMPAIRMENT; WOUND INFECTION; ALGORITHM; ARTICLE; DECISION MAKING; FEMALE; FREE TISSUE GRAFT; METHODOLOGY; TREATMENT OUTCOME; WOUND HEALING;

ALGORITHMS; BREAST DISEASES; DECISION MAKING; FEMALE; FREE TISSUE FLAPS; HUMANS; MAMMAPLASTY; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; TREATMENT OUTCOME; WOUND HEALING;

EID: 78249249570     PISSN: 12341010     EISSN: 16433750     Source Type: Journal    
DOI: None     Document Type: Review

References (33)

1. Jensen LR, Huuse EM, Bathen TF et al: Assessment of early docetaxel response in an experimental model ofhuman breast cancer using DCEMRI, ex vivo HR MAS, and in vivo 1H MRS. NMRBiomed, 2010; 23(1): 56-65.
2. Theocharis SE, Klijanienko JT, Padoy E et al: Focal adhesion kinase (FAK) immunocytochemical expression in breast ductal invasive carcinoma (DIC): correlation with clinicopathological parameters and tumor proliferative capacity. Med Sci Monit, 2009; 15(8): BR221-26.
3. Jezierska A, Motyl T: Matrix metalloproteinase-2 involvement in breast cancer progression: a mini-review. Med Sci Monit, 2009; 15(2): RA32-40.
4. Kim MJ, Kim EK, Kwak JY et al: Characterization of microcalcification: can digital monitor zooming replace magnification mammography in full-field digital mammography? Eur Radiol, 2009; 19(2): 310-17.
5. Graham SJ, Bronskill MJ, Byng JW et al: Quantitative correlation of breast tissue parameters using magnetic resonance and X-ray mammography. Br J Cancer, 1996; 73(2): 162-68.
6. Gill PS et al: A 10-year retrospective review of 758 DIEP flaps for breast reconstruction. Plast Reconstr Surg, 2004; 113: 1153-60.
7. Hamdi M et al: Advances in autogenous breast reconstruction: the role of preoperative perforator mapping. Ann Plast Surg, 2007; 58: 18-26.
8. Rosson GD et al: 3D CT angiography of abdominal wall vascular perforators to plan DIEAP flaps. Microsurgery, 2007; 27: 641-46.
9. Alonso-Burgos A et al: Preoperative planning of DIEP and SGAP flaps: Preliminary experience with magnetic resonance angiography using 3-tesla equipment and bloodpool contrast medium. J Plast Reconstr Aesthet Surg, 2010; 63(2): 298-304.
10. Rozen WM et al: Advances in the pre-operative planning of deep inferior epigastric artery perforator flaps: magnetic resonance angiography. Microsurgery, 2009; 29; 119-23.
11. Jones NF et al: Postoperative medical complications - not microsurgical complications - negatively influence the morbidity, mortality, and true costs after microsurgical reconstruction for head and neck cancer. Plast Reconstr Surg, 2007; 119: 2053-60.
12. Vega S et al: 500 Consecutive Patients with Free TRAM Flap Breast Reconstruction: A Single Surgeon's Experience. Plast Reconstr Surg, 2008; 122: 329-39.
13. Harris AG et al: Skeletal muscle microvascular and tissue injury after varying durations of ischemia. Am J Physiol, 1996; 271: H2388-98.
14. Menger MD, Vollmar B: In vivo analysis of microvascular reperfusion injury in striated muscle and skin. Microsurgery, 1994; 15: 383-89.
15. Hofer SO et al: A critical review of perioperative complications in 175 free deep inferior epigastric perforator flap breast reconstructions. Ann Plast Surg, 2007; 59: 137-42.
16. Tran NV, Buchel EW, Convery PA: Microvascular complications of DIEP flaps. Plast Reconstr Surg, 2007; 119: 1397-405; discussion 1406-8.
17. Smit JM et al: Early reintervention of compromised free flaps improves success rate. Microsurgery, 2007; 27: 612-16.
18. Kroll SS et al: Timing of pedicle thrombosis and flap loss after free-tissue transfer. Plast Reconstr Surg, 1996; 98: 1230-33.
19. Khouri RK: Avoiding free flap failure. Clin Plast Surg, 1992; 19: 773-81.
20. Bui, D.T., et al., Free flap reexploration: indications, treatment, and outcomes in 1193 free flaps. Plast Reconstr Surg, 2007; 119: 2092-100.
21. Vijan SS, TranVN: Microvascular breast reconstruction pedicle thrombosis: how long can we wait? Microsurgery, 2007; 27: 544-47.
22. Kirschner RE et al: Salvage of free flaps after secondary venous ischemia by local delivery of heparin. Ann Plast Surg, 1999; 42: 521-27; discussion 527-28.
23. Kroll SS et al: Anticoagulants and hematomas in free flap surgery. Plast Reconstr Surg, 1995; 96: 643-47.
24. Disa JJ et al: Dextran-related complications in head and neck microsurgery: do the benefits outweigh the risks? A prospective randomized analysis. Plast Reconstr Surg, 2003; 112: 1534-39.
25. Bezuhly M et al: Activated protein C: an emerging therapeutic agent in the prevention of ischemia-reperfusion injury. J Reconstr Microsurg, 2008; 24: 361-67.
26. Harder Y et al: Ischemia-Induced Up-Regulation of Heme Oxygenase-1 Protects from Apoptotic Cell Death and Tissue Necrosis. J Surg Res, 2008; 150(2): 293-303.
27. Wettstein R et al: Selective blockade of endothelin-B receptor improves survival of critically perfused musculocutaneous flaps. Langenbecks Arch Surg, 2007; 392: 331-38.
28. Goertz O et al: Effects of maleimide-polyethylene glycol-modified human hemoglobin (MP4) on tissue necrosis in SKH1-hr hairless mice. Eur J Med Res, 2009; 14(3): 123-29.
29. Hirigoyen MB, Urken ML, Weinberg H: Free flap monitoring: a review of current practice. Microsurgery, 1995; 16: 723-26.
30. Kerrigan CL, Daniel RK: Monitoring acute skin-flap failure. Plast Reconstr Surg, 1983; 71: 519-24.
31. Furnas H, Rosen JM: Monitoring in microvascular surgery. Ann Plast Surg, 1991; 26: 265-72.
32. Yuen JC, Feng Z: Monitoring free flaps using the laser Doppler flowmeter: fiveyear experience. Plast Reconstr Surg, 2000; 105: 55-61.
33. Kind GM et al: The effect of an implantable Doppler probe on the salvage of microvascular tissue transplants. Plast Reconstr Surg, 1998; 101: 1268-73; discussion 1274-75.