Surgical delay in abdominal based flap surgery: a scoping review.

ABSTRACT:

Background

The abdominal donor site is the most common flap used for breast reconstruction, with flap necrosis a feared complication. The technique of surgical 'delay' involves the inducing of relative ischemia to promote neovascularisation, amongst other metabolic adaptations, and has been used to augment flap vascularity and reduce this complication. There is significant variability in the manner in which flap surgery and surgical delay may be performed, such as the vessels ligated, the presence and degree of flap elevation, and the decision to harvest muscle with the flap, amongst other factors. A formal review of techniques, however, has not yet been performed, and there is no consensus as to the optimal technique for surgical delay.

Methods

A scoping review of the curre

SUBMITTER: Rozen WM 

PROVIDER: S-EPMC11193560 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature