Τομέας ΧειρουργικήςLibrary of the School of Health Sciences
Δ.Α. Λαππας, Γ.Ζωγράφος, Ι. Μπράμης
Ανατομικές παραλλαγές των διατιτραινόντων κλάδων των εν τω βάθει κάτω επιγάστριων αγγείων και η κλινική του σημασία
Background: The popularity of the DIEP flap has increased over the last decade.
However, there is little information regarding the transfusion rates of this
procedure. The current study reports the transfusion rates in patients who
DIEP flap reconstruction in our unit with an attempt to correlate significant
with potential predictors such as the abdominal flap weight.
Methods-Material: A retrospective review of 131 patients who underwent DIEP
reconstruction was performed. Patients’ characteristics, risk factors,
incidence of blood
transfusions, Hb drop and complications were reviewed. For statistical analysis
two-tailed Student t-test, chi-squared significance test and multiple
Results: 12 patients (9.1%) were transfused compared to 80.3% and 18.8%
in the literature. Definite association was found between the presence of a
and transfusion. No correlation was found between age, obesity, chemotherapy
or radiotherapy or tamoxifen treatment and blood loss. However, operation
complications and weight all found to have significant correlation. On average,
additional hour of surgery adds 0.25 grams of Hb drop; the presence of a
adds 0.45 grams of Hb drop, and every extra gram of tissue removed from the
adds an extra 0.001 gram of Hb drop.
Conclusion: The different transfusion rates published reflect variations in
strategies, different operative technical details but mostly transfusion
in each unit. As a correlation with complications was found, it is quite
identify predictors for significant blood loss to optimise the operation
in our study are additional time of surgery, the presence of complication and
Flap, Breast reconstruction, Breast cancer, Anatomy, Plastic surgery
File access is restricted only to the intranet of UoA.