Surgical delay in abdominal based flap surgery: a scoping review
Warren M Rozen1,2, Vikash Yogaraj1,2, Mustafa Siddiqui1,2
1Department of Plastic and Reconstructive Surgery, Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University, Frankston, Victoria, Australia.
Surgical delay in abdominal flap breast reconstruction reduces complications. While techniques vary, this method shows promise, especially for high-risk patients, though further comparative studies are needed.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Abdominal donor sites are common in breast reconstruction.
- Flap necrosis is a significant complication.
- Surgical delay aims to improve flap vascularity and reduce necrosis through induced ischemia and neovascularization.
Purpose of the Study:
- To review and identify optimal surgical delay techniques for abdominal-based flap surgery.
- To address the lack of consensus on the best surgical delay methods.
Main Methods:
- A scoping review of existing literature was performed.
- Searches included PubMed, Embase, Cochrane, and Medline databases.
- Data on flap surgery types, delay techniques, and outcomes were collected and categorized.
Main Results:
- Nine studies met inclusion criteria.
- Surgical delay was associated with reduced overall complication rates.
- The technique appears particularly beneficial for high-risk patients.
Conclusions:
- Current data support surgical delay as an effective method to decrease complication rates in abdominal flap surgery.
- Further research is needed to compare specific delay techniques and their benefits for at-risk populations.
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