Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

4
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4
  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. Intraoperative Complications As Predictors Of Flap Failure In Autologous Breast Reconstruction

Intraoperative Complications as Predictors of Flap Failure in Autologous Breast Reconstruction

Kerilyn N Godbe1, Erin Rauber2, Niaman Nazir3

  • 1Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kansas.

Journal of Reconstructive Microsurgery
|October 3, 2024

Related Experiment Videos

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

2.5K
A Model of Free Tissue Transfer: The Rat Epigastric Free Flap
10:10

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

Published on: January 15, 2017

16.7K
A Pre-clinical Rat Model for the Study of Ischemia-reperfusion Injury in Reconstructive Microsurgery
08:05

A Pre-clinical Rat Model for the Study of Ischemia-reperfusion Injury in Reconstructive Microsurgery

Published on: November 8, 2019

7.3K

View abstract on PubMed

Summary
This summary is machine-generated.

Intraoperative complications like arterial revision and thrombosis increase flap loss risk in autologous breast reconstruction. Difficult flap dissection is linked to early total and late partial flap loss.

Area of Science:

  • Microsurgery
  • Plastic Surgery
  • Breast Reconstruction

Background:

  • Intraoperative microvascular complications in autologous breast reconstruction elevate postoperative complication risks.
  • Specific intraoperative complications leading to partial or total flap loss remain unidentified.

Purpose of the Study:

  • To identify specific intraoperative complications associated with partial or total flap loss in autologous breast reconstruction.
  • To analyze the impact of intraoperative variables on flap survival rates.

Main Methods:

  • Retrospective chart review of 1,465 autologous breast reconstructions performed between 2009 and 2020.
  • Analysis of operative variables and patient outcomes, with complications identified from operative reports.
  • Comparison of flap loss rates between cases with and without intraoperative complications using Fisher's exact and t-tests.

Related Experiment Videos

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

2.5K
A Model of Free Tissue Transfer: The Rat Epigastric Free Flap
10:10

A Model of Free Tissue Transfer: The Rat Epigastric Free Flap

Published on: January 15, 2017

16.7K
A Pre-clinical Rat Model for the Study of Ischemia-reperfusion Injury in Reconstructive Microsurgery
08:05

A Pre-clinical Rat Model for the Study of Ischemia-reperfusion Injury in Reconstructive Microsurgery

Published on: November 8, 2019

7.3K

Main Results:

  • Alternate venous outflow and arterial anastomosis revision predicted early partial flap loss.
  • Intraoperative thrombosis, arterial/venous revision, and difficult flap dissection predicted early total flap loss.
  • Difficult flap dissection was associated with late partial flap loss, and difficult recipient vessel dissection with late total flap loss.

Conclusions:

  • Specific intraoperative complications significantly influence flap survival in autologous breast reconstruction.
  • Identifying and mitigating these complications, such as thrombosis and dissection difficulties, is crucial for improving outcomes.
  • Alternate venous outflow, arterial/venous revision, and dissection challenges are key factors to monitor for flap viability.