Overall Complication Rates of DIEP Flap Breast Reconstructions in Germany—A Multi-Center Analysis Based on the DGPRÄC Prospective National Online Registry for Microsurgical Breast Reconstructions

Journal of Clinical Medicine

PaulI. Heidekrueger¹  Lukas Prantl¹  Uwevon Fritschen²  RaymundE. Horch³  JörnA. Lohmeyer⁴  Mario Marx⁵  Hisham Fansa⁶  Steffen Handstein⁷  Matthias Geenen⁸  Nicholas Moellhoff⁹  ChristianJ. Gabka^1,10  Christoph Heitmann^1,11 

[1] Centre of Plastic, Aesthetic, Hand and Reconstructive Surgery, University of Regensburg, 93053 Regensburg, Germany;Department of Plastic and Aesthetic Surgery, Hand Surgery, Helios Hospital Emil von Behring, 14165 Berlin, Germany;Department of Plastic and Hand Surgery, University Hospital of Erlangen, 91054 Erlangen, Germany;Department of Plastic, Reconstructive and Aesthetic Surgery, Agaplesion Diakonieklinikum Hamburg, 20259 Hamburg, Germany;Department of Plastic, Reconstructive and Breast Surgery, Elbland Hospital Radebeul, 01445 Radebeul, Germany;Department of Plastic, Reconstructive, and Aesthetic Surgery, Breast Centre Spital Zollikerberg, 8125 Zollikerberg, Switzerland;Department of Plastic, Reconstructive, and Breast Surgery, Municipal Hospital Goerlitz, 02828 Görlitz, Germany;Department of Reconstructive Surgery, Lubinus Clinic Kiel, 24106 Kiel, Germany;Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, 80336 Munich, Germany;Nymphenburg Clinic for Plastic and Aesthetic Surgery, 80636 Munich, Germany;SENO Clinic, 80539 Munich, Germany;

关键词: breast reconstruction;    deep inferior epigastric perforator (DIEP) flap;    breast cancer;    microsurgery;    plastic surgery;    reconstructive surgery;   

DOI  :  10.3390/jcm10051016

来源: DOAJ

【 摘 要 】

While autologous breast reconstruction has gained momentum over recent years, there is limited data on the structure and quality of care of microsurgical breast reconstruction in Germany. Using the breast reconstruction database established by the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC), the presented study investigated the overall outcomes of deep inferior epigastric perforator (DIEP) flap reconstructions in Germany. Data of 3926 patients and 4577 DIEP flaps performed by 22 centers were included in this study. Demographics, patient characteristics, perioperative details and postoperative outcomes were accounted for. Centers performing < Ø 40 (low-volume (LV)) vs. ≥ Ø 40 (high-volume (HV)) annual DIEP flaps were analyzed separately. Overall, total and partial flap loss rates were as low as 2.0% and 1.1% respectively, and emergent vascular revision surgery was performed in 4.3% of cases. Revision surgery due to wound complications was conducted in 8.3% of all cases. Mean operative time and length of hospital stay was significantly shorter in the HV group (LV: 385.82 min vs. HV: 287.14 min; LV: 9.04 (18.87) days vs. HV: 8.21 (5.04) days; both p < 0.05). The outcome and complication rates deduced from the national registry underline the high standard of microsurgical breast reconstruction on a national level in Germany.

【 授权许可】

Unknown