Systematic review of methodologies used to assess mastectomy flap viability.

ABSTRACT:

Background

Accurate prediction of mastectomy skin flap viability is vital as necrosis causes significant morbidity, potentially compromising results and delaying oncological management. Traditionally assessed by clinical judgement, a more objective evaluation can be provided using intraoperative imaging modalities. This systematic review aimed to compare all intraoperative techniques for assessment of mastectomy flap viability.

Methods

A systematic literature review was performed using MEDLINE and Embase databases. Primary outcomes reported included specificity, sensitivity and predictive values of each test, and mean rates of mastectomy flap necrosis and reoperation. Secondary outcomes included cost analysis.

Results

Some 18 studies were included. Designs were prospe

SUBMITTER: Jeon FHK 

PROVIDER: S-EPMC6069344 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature