Overall complication rates of DIEP flap breast reconstructions in Germany – a multi-center analysis based on the DGPRÄC prospective national online registry for microsurgical breast reconstructions

URN to cite this document:

urn:nbn:de:bvb:355-epub-446719 Copy

DOI to cite this document:

10.5283/epub.44671 Copy

Heidekrueger, Paul I. ; Moellhoff, Nicholas ; Horch, Raymund E. ; Lohmeyer, Jörn A. ; Marx, Mario ; Heitmann, Christoph ; Fansa, Hisham ; Geenen, Matthias ; Gabka, Christian J. ; Handstein, Steffen ; Prantl, Lukas ; von Fritschen, Uwe

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Date of publication of this fulltext: 05 Mar 2021 10:34

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Details

Item type:	Article
Open Access Type:	Gold (without APC)
Journal or Publication Title:	Journal of Clinical Medicine
Publisher:	MDPI
Place of Publication:	BASEL
Volume:	2021
Number of Issue or Book Chapter:	1016
Page Range:	pp. 1-12
Date:	2 March 2021
Institutions:	Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie
Identification Number:	Value Type 10.3390/jcm10051016 DOI
Keywords:	; breast reconstruction; deep inferior epigastric perforator (DIEP) flap; breast cancer; microsurgery; plastic surgery; reconstructive surgery
Dewey Decimal Classification:	600 Technology > 610 Medical sciences Medicine
Status:	Published
Refereed:	Yes, this version has been refereed
Created at the University of Regensburg:	Yes
Item ID:	44671

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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 ...

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.

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