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Updated: Nov 8, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Seeing White: Management of TIVA during autologous breast reconstruction
Piranavhan Vigneswaran1, Rachel Clancy1, S Y Choo1
1Department of Plastic Surgery, North Bristol NHS Trust, Southmead Road, Westbury-on-Trym, Bristol BS10 5NB.
Abstract:
Total IntraVenous Anaesthesia is frequently the anaesthetic of choice for enhanced recovery after surgery pathways during breast reconstruction free flap surgery. This relies upon the continuous intravenous infusion of propofol. We describe our experience of two patients where augmentation of a venously congested DIEP flap with a cephalic vein transposition procedure, risked interruption of the intravenous delivery of anaesthesia to the patient. We also share our steps taken to mitigate this risk going forward.
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