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Standardized Skin Flap Warming Effectively Improves Flap Survival without Obstructing Temperature Monitoring after DIEP
OBJECTIVE: This study aimed to determine whether skin flap warming after an operation interferes with temperature monitoring. The postoperative nursing workflow of subabdominal deep inferior epigastric artery perforator (DIEP) flap breast reconstruction was optimized. METHODS: A retrospective analys...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8884534/ https://www.ncbi.nlm.nih.gov/pubmed/35242493 http://dx.doi.org/10.1097/GOX.0000000000004153 |
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author | Wang, Yijuan Wu, Gaoyan Chu, Chengyu Li, Xiaoyan Zou, Qiang Cao, Yanpei Zhu, Lingping |
author_facet | Wang, Yijuan Wu, Gaoyan Chu, Chengyu Li, Xiaoyan Zou, Qiang Cao, Yanpei Zhu, Lingping |
author_sort | Wang, Yijuan |
collection | PubMed |
description | OBJECTIVE: This study aimed to determine whether skin flap warming after an operation interferes with temperature monitoring. The postoperative nursing workflow of subabdominal deep inferior epigastric artery perforator (DIEP) flap breast reconstruction was optimized. METHODS: A retrospective analysis involving 69 patients who received one-stage breast reconstruction at the Huashan Hospital from July 2017 to December 2019 was performed. The postoperative physical care of patients, including flap temperature monitoring and flap warming, was reviewed. RESULTS: All patients had successful operations. After surgery, all flaps were warmed following the standard protocol. Abnormal temperature and compromised circulation of flaps were observed in three of the patients. These patients received re-exploration surgery and all three flaps survived. A postoperative follow-up shows a high level of patient satisfaction in most cases. CONCLUSIONS: The appropriate warming of transplanted flaps did not interfere with temperature monitoring. This helped determine whether there was compromised circulation, leading to increased skin flap survival and improved patient satisfaction. |
format | Online Article Text |
id | pubmed-8884534 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-88845342022-03-02 Standardized Skin Flap Warming Effectively Improves Flap Survival without Obstructing Temperature Monitoring after DIEP Wang, Yijuan Wu, Gaoyan Chu, Chengyu Li, Xiaoyan Zou, Qiang Cao, Yanpei Zhu, Lingping Plast Reconstr Surg Glob Open Breast OBJECTIVE: This study aimed to determine whether skin flap warming after an operation interferes with temperature monitoring. The postoperative nursing workflow of subabdominal deep inferior epigastric artery perforator (DIEP) flap breast reconstruction was optimized. METHODS: A retrospective analysis involving 69 patients who received one-stage breast reconstruction at the Huashan Hospital from July 2017 to December 2019 was performed. The postoperative physical care of patients, including flap temperature monitoring and flap warming, was reviewed. RESULTS: All patients had successful operations. After surgery, all flaps were warmed following the standard protocol. Abnormal temperature and compromised circulation of flaps were observed in three of the patients. These patients received re-exploration surgery and all three flaps survived. A postoperative follow-up shows a high level of patient satisfaction in most cases. CONCLUSIONS: The appropriate warming of transplanted flaps did not interfere with temperature monitoring. This helped determine whether there was compromised circulation, leading to increased skin flap survival and improved patient satisfaction. Lippincott Williams & Wilkins 2022-02-28 /pmc/articles/PMC8884534/ /pubmed/35242493 http://dx.doi.org/10.1097/GOX.0000000000004153 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Breast Wang, Yijuan Wu, Gaoyan Chu, Chengyu Li, Xiaoyan Zou, Qiang Cao, Yanpei Zhu, Lingping Standardized Skin Flap Warming Effectively Improves Flap Survival without Obstructing Temperature Monitoring after DIEP |
title | Standardized Skin Flap Warming Effectively Improves Flap Survival without Obstructing Temperature Monitoring after DIEP |
title_full | Standardized Skin Flap Warming Effectively Improves Flap Survival without Obstructing Temperature Monitoring after DIEP |
title_fullStr | Standardized Skin Flap Warming Effectively Improves Flap Survival without Obstructing Temperature Monitoring after DIEP |
title_full_unstemmed | Standardized Skin Flap Warming Effectively Improves Flap Survival without Obstructing Temperature Monitoring after DIEP |
title_short | Standardized Skin Flap Warming Effectively Improves Flap Survival without Obstructing Temperature Monitoring after DIEP |
title_sort | standardized skin flap warming effectively improves flap survival without obstructing temperature monitoring after diep |
topic | Breast |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8884534/ https://www.ncbi.nlm.nih.gov/pubmed/35242493 http://dx.doi.org/10.1097/GOX.0000000000004153 |
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