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Standardized Skin Flap Warming Effectively Improves Flap Survival without Obstructing Temperature Monitoring after

Yijuan Wang1, Gaoyan Wu1, Chengyu Chu1

  • 1Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.

Plastic and Reconstructive Surgery. Global Open
|March 4, 2022
PubMed
Summary

Skin flap warming after deep inferior epigastric artery perforator (DIEP) flap breast reconstruction does not interfere with temperature monitoring. This practice ensures early detection of compromised circulation, improving flap survival and patient satisfaction.

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Area of Science:

  • Plastic Surgery
  • Surgical Nursing

Background:

  • Optimizing postoperative nursing workflows is crucial for successful breast reconstruction.
  • Deep inferior epigastric artery perforator (DIEP) flap reconstruction is a common technique.

Purpose of the Study:

  • To evaluate if skin flap warming impacts postoperative temperature monitoring accuracy.
  • To assess the effect of warming protocols on DIEP flap outcomes.

Main Methods:

  • Retrospective analysis of 69 patients undergoing one-stage DIEP flap breast reconstruction.
  • Review of postoperative care, including flap warming and temperature monitoring.

Main Results:

  • All operations were successful, with flaps warmed per protocol.
  • Three patients experienced abnormal flap temperature/circulation, requiring re-exploration and successful flap salvage.
  • High patient satisfaction reported postoperatively.

Conclusions:

  • Appropriate skin flap warming is compatible with accurate temperature monitoring.
  • Warming protocols aid in identifying compromised circulation, enhancing flap survival.
  • Optimized warming and monitoring contribute to improved patient outcomes and satisfaction.