Minimising the learning curve while introducing a local microsurgical breast reconstruction service in a District General Hospital

Minimising the learning curve while introducing a local microsurgical breast reconstruction... Breast reconstruction with autologous tissue is associated with numerous benefits. The Deep Inferior Epigastric Artery Perforator (DIEAP) flap aims to minimize the donor site morbidity. A significant learning curve has often been demonstrated with the introduction of this flap. We examined the outcomes and complications for our first 70 DIEAP flap reconstructions in 67 patients. We found no significant difference in any complication between the early and late groups. We found a significant decrease in the length of stay of patients from 7.4 to 5.9 days (P 0.037). There was a significant reduction in the length of delayed unilateral reconstructions operation from 554 to 480 minutes (P 0.038). Microsurgical breast reconstruction has been successfully introduced by a single surgeon, in a district general hospital (DGH). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Minimising the learning curve while introducing a local microsurgical breast reconstruction service in a District General Hospital

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Publisher
Springer-Verlag
Copyright
Copyright © 2011 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-010-0535-0
Publisher site
See Article on Publisher Site

Abstract

Breast reconstruction with autologous tissue is associated with numerous benefits. The Deep Inferior Epigastric Artery Perforator (DIEAP) flap aims to minimize the donor site morbidity. A significant learning curve has often been demonstrated with the introduction of this flap. We examined the outcomes and complications for our first 70 DIEAP flap reconstructions in 67 patients. We found no significant difference in any complication between the early and late groups. We found a significant decrease in the length of stay of patients from 7.4 to 5.9 days (P 0.037). There was a significant reduction in the length of delayed unilateral reconstructions operation from 554 to 480 minutes (P 0.038). Microsurgical breast reconstruction has been successfully introduced by a single surgeon, in a district general hospital (DGH).

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Dec 1, 2011

References

  • Deep inferior epigastric perforator flap for breast reconstruction
    Allen, RJ; Treece, P
  • Morphometrical study of the arterial perforators of the deep inferior epigastric perforator flap
    Kikuchi, N; Murakami, G; Kashiwa, H; Homma, K; Sato, TJ; Ogino, T
  • Improving patient safety by identifying latent failures in successful operations
    Catchpole, KR; Giddings, AE; Wilkinson, M; Hirst, G; Dale, T; Leval, MR

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