Deep Inferior Epigastric Perforator Flap for Breast Reconstruction: Audit of 8-year Single Trust Experience
Association of Breast Surgery ePoster Library. Lun K. 05/13/19; 257102; P058
Dr. Kenny Kin Lun
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Rate & Comment (0)
P058
Topic: Breast surgery
Introduction: Deep Inferior Epigastric Perforator Flap (DIEP) is a method of breast reconstruction that involves harvesting skin and adipose tissue from the lower abdomen - thus sparing the abdominal musculature and reducing donor site morbidity. In this audit, we compare our single centre complication rates against the standard defined in the 2010 National Mastectomy and Breast Reconstruction Audit. MethodsAll patients who have undergone breast reconstructions by DIEP flap between 2010 and 2017 are included in our study. All surgeries were performed by two consultant plastic surgeons within the Northumbria healthcare trust. Data from our specialist MDT-held database are analysed by patient demographics, pre-operative co-morbidities, immediate or delayed reconstruction, and post-operative morbidities. Results: Over the eight years study period, 117 patients have undergone DIEP flap reconstruction - of which 19 were bilateral reconstructions, giving a total of 136 DIEP flaps. 29.4% (n=40) were immediate reconstruction and 70.6% (=96) were delayed reconstruction. A total of 13 complications are accounted for. Our flap failure rate and non-flap related complications are 2.1% and 15.8%, this is significantly lower than 10.1% and 42.4% in the 2010 national audit. DiscussionWe attribute our low complication rates to several factors. Firstly, only two surgeons are assigned DIEP flap cases - having a high case volume led to a reduction in operation time which reduces risks associated with ischaemia. There is also a pre-operative CT angiogram protocol which reduces the time taken to locate a suitable donor perforator whilst in theatre.
Topic: Breast surgery
Introduction: Deep Inferior Epigastric Perforator Flap (DIEP) is a method of breast reconstruction that involves harvesting skin and adipose tissue from the lower abdomen - thus sparing the abdominal musculature and reducing donor site morbidity. In this audit, we compare our single centre complication rates against the standard defined in the 2010 National Mastectomy and Breast Reconstruction Audit. MethodsAll patients who have undergone breast reconstructions by DIEP flap between 2010 and 2017 are included in our study. All surgeries were performed by two consultant plastic surgeons within the Northumbria healthcare trust. Data from our specialist MDT-held database are analysed by patient demographics, pre-operative co-morbidities, immediate or delayed reconstruction, and post-operative morbidities. Results: Over the eight years study period, 117 patients have undergone DIEP flap reconstruction - of which 19 were bilateral reconstructions, giving a total of 136 DIEP flaps. 29.4% (n=40) were immediate reconstruction and 70.6% (=96) were delayed reconstruction. A total of 13 complications are accounted for. Our flap failure rate and non-flap related complications are 2.1% and 15.8%, this is significantly lower than 10.1% and 42.4% in the 2010 national audit. DiscussionWe attribute our low complication rates to several factors. Firstly, only two surgeons are assigned DIEP flap cases - having a high case volume led to a reduction in operation time which reduces risks associated with ischaemia. There is also a pre-operative CT angiogram protocol which reduces the time taken to locate a suitable donor perforator whilst in theatre.
P058
Topic: Breast surgery
Introduction: Deep Inferior Epigastric Perforator Flap (DIEP) is a method of breast reconstruction that involves harvesting skin and adipose tissue from the lower abdomen - thus sparing the abdominal musculature and reducing donor site morbidity. In this audit, we compare our single centre complication rates against the standard defined in the 2010 National Mastectomy and Breast Reconstruction Audit. MethodsAll patients who have undergone breast reconstructions by DIEP flap between 2010 and 2017 are included in our study. All surgeries were performed by two consultant plastic surgeons within the Northumbria healthcare trust. Data from our specialist MDT-held database are analysed by patient demographics, pre-operative co-morbidities, immediate or delayed reconstruction, and post-operative morbidities. Results: Over the eight years study period, 117 patients have undergone DIEP flap reconstruction - of which 19 were bilateral reconstructions, giving a total of 136 DIEP flaps. 29.4% (n=40) were immediate reconstruction and 70.6% (=96) were delayed reconstruction. A total of 13 complications are accounted for. Our flap failure rate and non-flap related complications are 2.1% and 15.8%, this is significantly lower than 10.1% and 42.4% in the 2010 national audit. DiscussionWe attribute our low complication rates to several factors. Firstly, only two surgeons are assigned DIEP flap cases - having a high case volume led to a reduction in operation time which reduces risks associated with ischaemia. There is also a pre-operative CT angiogram protocol which reduces the time taken to locate a suitable donor perforator whilst in theatre.
Topic: Breast surgery
Introduction: Deep Inferior Epigastric Perforator Flap (DIEP) is a method of breast reconstruction that involves harvesting skin and adipose tissue from the lower abdomen - thus sparing the abdominal musculature and reducing donor site morbidity. In this audit, we compare our single centre complication rates against the standard defined in the 2010 National Mastectomy and Breast Reconstruction Audit. MethodsAll patients who have undergone breast reconstructions by DIEP flap between 2010 and 2017 are included in our study. All surgeries were performed by two consultant plastic surgeons within the Northumbria healthcare trust. Data from our specialist MDT-held database are analysed by patient demographics, pre-operative co-morbidities, immediate or delayed reconstruction, and post-operative morbidities. Results: Over the eight years study period, 117 patients have undergone DIEP flap reconstruction - of which 19 were bilateral reconstructions, giving a total of 136 DIEP flaps. 29.4% (n=40) were immediate reconstruction and 70.6% (=96) were delayed reconstruction. A total of 13 complications are accounted for. Our flap failure rate and non-flap related complications are 2.1% and 15.8%, this is significantly lower than 10.1% and 42.4% in the 2010 national audit. DiscussionWe attribute our low complication rates to several factors. Firstly, only two surgeons are assigned DIEP flap cases - having a high case volume led to a reduction in operation time which reduces risks associated with ischaemia. There is also a pre-operative CT angiogram protocol which reduces the time taken to locate a suitable donor perforator whilst in theatre.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}