Patient Management Strategies in Perioperative, Intraoperative, and Postoperative Period in Breast Reconstruction With DIEP-Flap: Clinical Recommendations

Frontiers in Surgery

article

Kuo Chen¹  Narasimha M. Beeraka²  Mikhail Y. Sinelnikov²  Jin Zhang²  Dajiang Song⁴  Yuanting Gu¹  Jingruo Li¹  I. V. Reshetov²  O. I. Startseva²  Junqi Liu⁷  Ruitai Fan³  Pengwei Lu¹ 

[1] Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University;Ministry of Health of the Russian Federation, Sechenov University;Department of Radiation Oncology, Cancer Center, The First Affiliated Hospital of Zhengzhou University;Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital and the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University;L.L. Levshin Institute of Cluster Oncology;Academy of Postgraduate Education;Cancer Center, The First Affiliated Hospital of Zhengzhou University

关键词: breast reconstruction;    DIEP flap;    surgery;    patient management;    perioperative;    intraoperative;    postoperative period;   

DOI  :  10.3389/fsurg.2022.729181

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background and Objective Deep Inferior Epigastric Perforator (DIEP) flap is a tissue isolated from the skin and subcutaneous tissue of the lower abdomen or rectus muscle to foster breast reconstruction. There is limited information about DIEP-flap induced complications associated with breast reconstruction surgery. Evidence We conducted a systematic review of the published literature in the field of breast cancer reconstruction surgery. Information was gathered through internet resources such as PubMed, Medline, eMedicine, NLM, and ReleMed etc. The following key phrases were used for effective literature collection: “DIEP flap”, “Breast reconstruction”, “Patient management”, “Postoperative DIEP”, “Intraoperative anticoagulant therapy”, “Clinical recommendations”. A total of 106 research papers were retrieved pertaining to this systematic review. Conclusion A successful breast reconstruction with DIEP-flap without complications is the priority achievement for this surgical procedure. This study provides various evidence-based recommendations on patient management in the perioperative, intraoperative, and postoperative periods. The clinical recommendations provided in this review can benefit surgeons to execute breast reconstruction surgery with minimal postoperative complications. These recommendations are beneficial to improve clinical outcomes when performing surgery by minimizing complications in perioperative, intraoperative, and postoperative period.

【 授权许可】

CC BY