Heidekrueger, Paul I. and Moellhoff, Nicholas and Horch, Raymund E. and Lohmeyer, Joern A. and Marx, Mario and Heitmann, Christoph and Fansa, Hisham and Geenen, Matthias and Gabka, Christian J. and Handstein, Steffen and Prantl, Lukas and Fritschen, Uwe von (2021) Overall Complication Rates of DIEP Flap Breast Reconstructions in Germany-A Multi-Center Analysis Based on the DGPRaC Prospective National Online Registry for Microsurgical Breast Reconstructions. JOURNAL OF CLINICAL MEDICINE, 10 (5): 1016. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
While autologous breast reconstruction has gained momentum over recent years, there is limited data on the structure and quality of care of microsurgical breast reconstruction in Germany. Using the breast reconstruction database established by the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRaC), the presented study investigated the overall outcomes of deep inferior epigastric perforator (DIEP) flap reconstructions in Germany. Data of 3926 patients and 4577 DIEP flaps performed by 22 centers were included in this study. Demographics, patient characteristics, perioperative details and postoperative outcomes were accounted for. Centers performing < o 40 (low-volume (LV)) vs. >= o 40 (high-volume (HV)) annual DIEP flaps were analyzed separately. Overall, total and partial flap loss rates were as low as 2.0% and 1.1% respectively, and emergent vascular revision surgery was performed in 4.3% of cases. Revision surgery due to wound complications was conducted in 8.3% of all cases. Mean operative time and length of hospital stay was significantly shorter in the HV group (LV: 385.82 min vs. HV: 287.14 min; LV: 9.04 (18.87) days vs. HV: 8.21 (5.04) days; both p < 0.05). The outcome and complication rates deduced from the national registry underline the high standard of microsurgical breast reconstruction on a national level in Germany.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; breast reconstruction; deep inferior epigastric perforator (DIEP) flap; breast cancer; microsurgery; plastic surgery; reconstructive surgery |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 16 Sep 2022 11:39 |
| Last Modified: | 16 Sep 2022 11:39 |
| URI: | https://pred.uni-regensburg.de/id/eprint/47547 |
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