Strategies to Improve Outcomes and Reduce Complications in Abdominal Based Perforator Flap Breast Reconstruction

2016 ◽  
pp. 775-784
Author(s):  
John T. Lindsey ◽  
Orlando Canizares
Keyword(s):  
Breast Reconstruction ◽  
Perforator Flap

scholarly journals Breast reconstruction after breast cancer surgery – persistent pain and quality of life 1–8 years after breast reconstruction

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Nina Honkanen ◽  
Laura Mustonen ◽  
Eija Kalso ◽  
Tuomo Meretoja ◽  
Hanna Harno
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Breast Reconstruction ◽  
Perforator Flap ◽  
Persistent Pain ◽  
Rectus Abdominis ◽  
Preoperative Pain ◽  
Significant Difference

Abstract Objectives To assess the long-term outcome of breast reconstructions with special focus on chronic postsurgical pain (CPSP) in a larger cohort of breast cancer survivors. Methods A cross-sectional study on 121 women with mastectomy and breast reconstruction after mean 2 years 4 months follow up. The mean time from breast reconstruction to the follow-up visit was 4 years 2 months. We studied surveys on pain (Brief Pain Inventory, BPI and Douleur Neuropathique 4, DN4), quality of life (RAND-36 health survey), sleep (insomnia severity questionnaire, ISI), mood (Beck’s Depression Index, BDI; Hospital Anxiety and Depression Scale, HADS), and a detailed clinical sensory status. Patients were divided into three groups: abdominal flap (Deep inferior epigastric perforator flap, DIEP; Free transverse rectus abdominis flap, fTRAM, and Pedicled transverse rectus abdominis flap, pTRAM), dorsal flap (Latissimus dorsi flap, LD and Thoracodorsal artery perforator flap, TDAP), and other (Transverse myocutaneous gracilis flap, TMG; implant). Clinically meaningful pain was defined ≥ 4/10 on a numeric rating scale (NRS). We used patients’ pain drawings to localize the pain. We assessed preoperative pain NRS from previous data. Results 106 (87.6%) of the patients did not have clinically meaningful persistent pain. We found no statistically significant difference between different reconstruction types with regards to persistent pain (p=0.40), mood (BDI-II, p=0.41 and HADS A, p=0.54) or sleep (p=0.14), respectively. Preoperative pain prior to breast reconstruction surgery correlated strongly with moderate or severe CPSP. Conclusions Moderate to severe CPSP intensity was present in 14% of patients. We found no significant difference in the prevalence of pain across different reconstruction types. Preoperative pain associated significantly with postoperative persistent pain.

Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction in Patients With Previous Bariatric Surgery

2016 ◽  
Vol 76 (2) ◽  
pp. 216-220 ◽  
Author(s):  
Carlos A. Martinez ◽  
Jules A. Walters ◽  
Erika A. Sato ◽  
Jason J. Hall ◽  
Sean G. Boutros
Keyword(s):  
Bariatric Surgery ◽  
Breast Reconstruction ◽  
Perforator Flap ◽  
Inferior Epigastric Artery ◽  
Epigastric Artery ◽  
Deep Inferior Epigastric Artery ◽  
Artery Perforator

Management of Implant Exposure in One-Stage Breast Reconstruction Using Titanium-Coated Polypropylene Mesh: Sub-Mammary Intercostal Perforator Flap

2016 ◽  
Vol 40 (6) ◽  
pp. 896-900 ◽  
Author(s):  
Michele Antonio De Riggi ◽  
Nicola Rocco ◽  
Giulio Gherardini ◽  
Emanuela Esposito ◽  
Massimiliano D’Aiuto
Keyword(s):  
Breast Reconstruction ◽  
Polypropylene Mesh ◽  
Perforator Flap ◽  
One Stage ◽  
Implant Exposure

Perforator Flap Breast Reconstruction

2002 ◽  
Vol 16 (1) ◽  
pp. 93-106 ◽  
Author(s):  
Eva Weiler-Mithoff ◽  
Elaine L.B. Hodgson ◽  
Charles M. Malata
Keyword(s):  
Breast Reconstruction ◽  
Perforator Flap
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