Outpatient pedicle avulsion in DIEP free flap breast reconstruction successfully salvaged: A case report

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Andrew J Davidson
Jeremy W Simcock


free tissue flaps, ischemia, postoperative complications


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1. Largo RD, Selber JC, Garvey PB, Chang EI, Hanasono MM, Yu P, Butler CE, Baumann DP. Outcome analysis of free flap salvage in outpatients presenting with microvascular compromise. Plast Reconst Surg. 2017;141:20e https://doi.org/10.1097/PRS.0000000000003917 PMid:29280859
2. Chen KT, Mardini S, Chuang DC, Lin CH, Cheng MH, Lin YT, Huang WC, Tsao CK, Wei FC. Timing of presentation of the first signs of vascular compromise dictates the salvage outcome of free flap transfers. Plast Reconstr Surg. 2007;120:187–195. https://doi.org/10.1097/01.prs.0000264077.07779.50 PMid:17572562
3. Selber JC, Angel Soto-Miranda M, Liu J, Robb G. The survival curve: factors impacting the outcome of free flap take-backs. Plast Reconstr Surg. 2012;130:105–113 https://doi.org/10.1097/PRS.0b013e318254b1b9 PMid:22418714
4. Lykoudis EG, Dimosthenis EZ, Papanikolaou GE. Vascular pedicle avulsion in free flap breast reconstruction: A case of DIEP flap salvage following early avulsion of venous anastomosis and literature review. Microsurgery. 2010;30:233–237 https://doi.org/10.1002/micr.20738 PMid:20091858
5. Gahankari D, Malyon A, Weiler-Mithoff EM. Avulsion of vascular anastomosis in free-flap breast reconstruction. Br J Plast Surg. 2001;54:167–168 https://doi.org/10.1054/bjps.2000.3516 PMid:11207132
6. Geary PM, Connolly CM, Milner RH, O?Donoghue J. Successful flap revascularisation following late pedicle avulsion. J Recontr Microsurg. 2006;22(5):385–386 https://doi.org/10.1055/s-2006-946717 PMid:16845621
7. Sader C, Hart R, Trites J, Phillips T, Rigby M, Taylor SM. Fat graft pedicle stabilization in head and neck microvascular reconstruction. Plast Reconst Surg. 2010; 125(3):893–895. https://doi.org/10.1097/PRS.0b013e3181cb6407 PMid:20195116
8. Sapountzis S, Nicoli F, Ciudad P, Kiranantawat K, Lim SY, Wei MYS, Chen HC. Use of polyglycolic acid nerve conduit (Neurotube) to alleviate pedicle kinking in microvascular anastomosis. Plast Reconst Surg. 2014; 134(2):332 https://doi.org/10.1097/PRS.0000000000000394 PMid:25068360