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Clin Radiol. 2013 Feb;68(2):131-8. doi: 10.1016/j.crad.2012.06.105. Epub 2012 Aug 11.

CT-guided deep inferior epigastric perforator (DIEP) flap localization -- better for the patient, the surgeon, and the hospital.

Author information

1
Department of Radiology, Royal Free Hampstead NHS Trust, London, UK. anmolmalhotra@nhs.net

Abstract

AIMS:

To define the clinical benefits to the patient of preoperative imaging planning for deep inferior epigastric perforator (DIEP) flap reconstruction.

MATERIALS AND METHODS:

Since 2009 computed tomography angiography (CTA) has been provided for the preoperative planning of DIEP flap breast reconstruction in the largest plastic surgery unit in southeast England. In a retrospective, cohort-control study the outcomes of 100 consecutive patients who underwent preoperative CTA planning were compared with a closely-matched control group who underwent ultrasound planning only. The cohorts were evaluated for operative duration, mean operative blood loss and transfusion requirement, morbidity and flap or donor-site complications.

RESULTS:

There were statistically significant improvements in mean operative duration (p < 0.05), intra-operative blood loss (p < 0.05), shorter mean inpatient stay (p < 0.05) for the CTA planning versus the ultrasound planning of DIEP flap reconstruction.

CONCLUSION:

Statistically significant benefits were demonstrated in key aspects of the surgical procedure following CTA-guided planning. The implications of these benefits are profound in terms of pure healthcare cost benefits.

PMID:
22889458
DOI:
10.1016/j.crad.2012.06.105
[Indexed for MEDLINE]

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