Cargando…
Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study
Although microsurgical breast reconstruction represents a very interesting and rewarding field of plastic surgery, appropriate microsurgical training is not possible in every plastic surgery department. In this retrospective study, we present the learning curve of our plastic surgery department as a...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10140818/ https://www.ncbi.nlm.nih.gov/pubmed/37109230 http://dx.doi.org/10.3390/jcm12082894 |
_version_ | 1785033243964211200 |
---|---|
author | Varnava, Charalampos Wiebringhaus, Philipp Hirsch, Tobias Dermietzel, Alexander Kueckelhaus, Maximilian |
author_facet | Varnava, Charalampos Wiebringhaus, Philipp Hirsch, Tobias Dermietzel, Alexander Kueckelhaus, Maximilian |
author_sort | Varnava, Charalampos |
collection | PubMed |
description | Although microsurgical breast reconstruction represents a very interesting and rewarding field of plastic surgery, appropriate microsurgical training is not possible in every plastic surgery department. In this retrospective study, we present the learning curve of our plastic surgery department as a whole and of a single microsurgeon assessing breast reconstruction procedures with a deep inferior epigastric artery perforator (DIEP) flap between July 2018 and June 2021. The present study included 115 patients and 161 flaps. Cases were stratified into single DIEP/double DIEP groups and into early and late groups based on the flap order. Surgery times and postoperative complications were analyzed. Regarding the institution, the length of hospital stay was lower in the late group than in the early group (single 7.1 ± 1.8 vs. 6.3 ± 1.5 days, p = 0.019; double 8.5 ± 3.8 vs. 6.6 ± 1.4 days, p = 0.043). Apart from that, no statistically significant differences were found between the start and end of our study. In terms of the single surgeon, there was a significant improvement in the total surgery time (single 296.0 ± 78.7 vs. 227.5 ± 54.7 min, p = 0.018; double 448.0 ± 85.6 vs. 341.2 ± 43.1 min, p = 0.008), flap ischemia time (53.6 ± 15.1 vs. 40.9 ± 9.5 min, p = 0.007) and length of stay among the compared groups. There was no significant difference in flap loss rate or other complications between the early and late groups. Further performance of surgeries seemed to improve the surgeon’s skills as well as the overall experience of the medical institution. |
format | Online Article Text |
id | pubmed-10140818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-101408182023-04-29 Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study Varnava, Charalampos Wiebringhaus, Philipp Hirsch, Tobias Dermietzel, Alexander Kueckelhaus, Maximilian J Clin Med Article Although microsurgical breast reconstruction represents a very interesting and rewarding field of plastic surgery, appropriate microsurgical training is not possible in every plastic surgery department. In this retrospective study, we present the learning curve of our plastic surgery department as a whole and of a single microsurgeon assessing breast reconstruction procedures with a deep inferior epigastric artery perforator (DIEP) flap between July 2018 and June 2021. The present study included 115 patients and 161 flaps. Cases were stratified into single DIEP/double DIEP groups and into early and late groups based on the flap order. Surgery times and postoperative complications were analyzed. Regarding the institution, the length of hospital stay was lower in the late group than in the early group (single 7.1 ± 1.8 vs. 6.3 ± 1.5 days, p = 0.019; double 8.5 ± 3.8 vs. 6.6 ± 1.4 days, p = 0.043). Apart from that, no statistically significant differences were found between the start and end of our study. In terms of the single surgeon, there was a significant improvement in the total surgery time (single 296.0 ± 78.7 vs. 227.5 ± 54.7 min, p = 0.018; double 448.0 ± 85.6 vs. 341.2 ± 43.1 min, p = 0.008), flap ischemia time (53.6 ± 15.1 vs. 40.9 ± 9.5 min, p = 0.007) and length of stay among the compared groups. There was no significant difference in flap loss rate or other complications between the early and late groups. Further performance of surgeries seemed to improve the surgeon’s skills as well as the overall experience of the medical institution. MDPI 2023-04-16 /pmc/articles/PMC10140818/ /pubmed/37109230 http://dx.doi.org/10.3390/jcm12082894 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Varnava, Charalampos Wiebringhaus, Philipp Hirsch, Tobias Dermietzel, Alexander Kueckelhaus, Maximilian Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study |
title | Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study |
title_full | Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study |
title_fullStr | Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study |
title_full_unstemmed | Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study |
title_short | Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study |
title_sort | breast reconstruction with diep flap: the learning curve at a breast reconstruction center and a single-surgeon study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10140818/ https://www.ncbi.nlm.nih.gov/pubmed/37109230 http://dx.doi.org/10.3390/jcm12082894 |
work_keys_str_mv | AT varnavacharalampos breastreconstructionwithdiepflapthelearningcurveatabreastreconstructioncenterandasinglesurgeonstudy AT wiebringhausphilipp breastreconstructionwithdiepflapthelearningcurveatabreastreconstructioncenterandasinglesurgeonstudy AT hirschtobias breastreconstructionwithdiepflapthelearningcurveatabreastreconstructioncenterandasinglesurgeonstudy AT dermietzelalexander breastreconstructionwithdiepflapthelearningcurveatabreastreconstructioncenterandasinglesurgeonstudy AT kueckelhausmaximilian breastreconstructionwithdiepflapthelearningcurveatabreastreconstructioncenterandasinglesurgeonstudy |