Chen Kuo, Beeraka Narasimha M, Sinelnikov Mikhail Y, Zhang Jin, Song Dajiang, Gu Yuanting, Li Jingruo, Reshetov I V, Startseva O I, Liu Junqi, Fan Ruitai, Lu Pengwei
Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Ministry of Health of the Russian Federation, Sechenov University, Moscow, Russia.
Front Surg. 2022 Feb 15;9:729181. doi: 10.3389/fsurg.2022.729181. eCollection 2022.
Deep Inferior Epigastric Perforator (DIEP) flap is a tissue isolated from the skin and subcutaneous tissue of the lower abdomen or rectus muscle to foster breast reconstruction. There is limited information about DIEP-flap induced complications associated with breast reconstruction surgery.
We conducted a systematic review of the published literature in the field of breast cancer reconstruction surgery. Information was gathered through internet resources such as PubMed, Medline, eMedicine, NLM, and ReleMed etc. The following key phrases were used for effective literature collection: "DIEP flap", "Breast reconstruction", "Patient management", "Postoperative DIEP", "Intraoperative anticoagulant therapy", "Clinical recommendations". A total of 106 research papers were retrieved pertaining to this systematic review.
A successful breast reconstruction with DIEP-flap without complications is the priority achievement for this surgical procedure. This study provides various evidence-based recommendations on patient management in the perioperative, intraoperative, and postoperative periods. The clinical recommendations provided in this review can benefit surgeons to execute breast reconstruction surgery with minimal postoperative complications. These recommendations are beneficial to improve clinical outcomes when performing surgery by minimizing complications in perioperative, intraoperative, and postoperative period.
腹壁下深动脉穿支（DIEP）皮瓣是一种从下腹部皮肤和皮下组织或腹直肌分离出来用于乳房重建的组织。关于与乳房重建手术相关的DIEP皮瓣并发症的信息有限。
我们对乳腺癌重建手术领域已发表的文献进行了系统综述。通过互联网资源如PubMed、Medline、eMedicine、NLM和ReleMed等收集信息。使用以下关键短语进行有效文献收集：“DIEP皮瓣”、“乳房重建”、“患者管理”、“术后DIEP”、“术中抗凝治疗”、“临床建议”。总共检索到106篇与该系统综述相关的研究论文。
成功进行无并发症的DIEP皮瓣乳房重建是该手术的首要目标。本研究提供了围手术期、术中及术后患者管理的各种循证建议。本综述提供的临床建议可帮助外科医生进行乳房重建手术，使术后并发症最少。这些建议有利于通过减少围手术期、术中及术后并发症来改善手术的临床结果。
