Abstract:
BACKGROUND:Fat necrosis is a frequent complication (up to 62.5%) of microsurgical breast reconstruction using the deep inferior epigastric perforator (DIEP) flap. This could have important clinical and psychological repercussions, deteriorating the results and increasing reconstruction costs. OBJECTIVES:The aim of this study was to demonstrate the intraoperative use of indocyanine green angiography (ICGA) to reduce fat necrosis in DIEP flap. METHODS:Sixty-one patients who underwent unilateral DIEP flap procedures for breast reconstruction after oncological mastectomy were included (24 cases with intraoperative use of ICGA during surgery, 37 cases in the control group). The follow-up period was 1 year after surgery. The association between the use of ICGA and the incidence of fat necrosis in the first postoperative year, differences in fat necrosis grade (I-V), differences in fat necrosis requiring reoperation, quality of life, and patient satisfaction were analyzed. RESULTS:The incidence of fat necrosis was reduced from 59.5% (control group) to 29% (ICG-group) (P = 0.021) (relative risk = 0.49 [95% CI, 0.25-0.97]). The major difference was in grade II (27% vs 2.7%, P = 0.038). The number of second surgeries for fat necrosis treatment was also reduced (45.9% vs 20.8%, P = 0.046). The ICG group had higher scores on the BREAST-Q. CONCLUSIONS:Intraoperative ICGA is a useful technique for reconstructive microsurgery that might improve patient satisfaction and reduce the incidence of fat necrosis by half as well as reduce its grade, especially in small fat necrosis cases; consequently, ICGA could reduce the number of secondary surgeries for treatment of fat necrosis. LEVEL OF EVIDENCE: 4:
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Malagón-López P,Vilà J,Carrasco-López C,García-Senosiain O,Priego D,Julian Ibañez JF,Higueras-Suñe Cdoi
10.1093/asj/sjy256subject
Has Abstractpub_date
2019-03-14 00:00:00pages
NP45-NP54issue
4eissn
1090-820Xissn
1527-330Xpii
5144677journal_volume
39pub_type
杂志文章abstract::Guidelines issued by the American Society for Aesthetic Plastic Surgery and other professional organizations have helped to reduce complications associated with lipoplasty. However, current guidelines for lipoplasty do not address the issue of hypothermia, which can be aggravated by infiltration of large amounts of an...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2001.113439
更新日期:2001-01-01 00:00:00
abstract::Abdominal wall hernias are often diagnosed on clinical examination or encountered intraoperatively during an abdominoplasty. Traditional surgical techniques for abdominoplasty and umbilical hernia repair, when performed simultaneously, can potentially compromise the vascular supply to the umbilicus. The authors descri...
journal_title:Aesthetic surgery journal
pub_type: 信件
doi:10.1016/j.asj.2009.02.012
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abstract:BACKGROUND:Adipocyte viability is affected by fat preparation and processing methods, but rigorous and objective studies of these relationships are lacking. OBJECTIVES:The authors conducted a comprehensive evaluation of variables affecting adipocyte viability prior to injection of fat at the recipient site. METHODS:L...
journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.12.014
更新日期:2007-03-01 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1177/1090820X13495405
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Although abdominoplasty and other body-contouring procedures are being performed more frequently, the incidence of seroma and other complications has remained relatively unchanged. In 2000, a small retrospective series introduced progressive tension sutures (PTS) in abdominoplasty to reduce seroma without th...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X12452294
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journal_title:Aesthetic surgery journal
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doi:10.1093/asj/sjz190
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journal_title:Aesthetic surgery journal
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abstract:BACKGROUND:Current brachioplasty techniques include excisional surgery alone or in combination with liposuction. These techniques are associated with poor outcomes, such as residual contour deformities and unfavorable scarring. OBJECTIVES:The authors proposed a new classification system and treatment algorithm for bra...
journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.07.007
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abstract:BACKGROUND:The primary outcome measures for patients who undergo aesthetic facial procedures are quality of life and satisfaction with appearance. The FACE-Q, a new patient-reported outcome (PRO) instrument composed of independently functioning scales, is designed to measure a broad range of important outcomes in patie...
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pub_type: 杂志文章,多中心研究
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更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:With the American College of Obstetricians and Gynecologists reaffirming its 2007 opposition to labiaplasty in 2019, the procedure continues to be controversial. Particular emphasis on pornography as a major influencer on women seeking labiaplasty contributes to its controversy and distracts from other motiv...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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journal_title:Aesthetic surgery journal
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更新日期:2016-09-01 00:00:00
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journal_title:Aesthetic surgery journal
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更新日期:2010-07-01 00:00:00
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journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
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pub_type: 杂志文章,评审
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
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更新日期:2014-11-01 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析
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更新日期:2019-05-16 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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