Avulsion of vascular anastomosis in free-flap breast reconstruction

We report a case of anastomotic avulsion following a free deep inferior epigastric perforator (DIEP) flap reconstruction immediately after mastectomy for carcinoma of the breast. This occurred on the 5th postoperative day when the patient was allowed a showed and abducted her shoulders to wash her h...

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Bibliographic Details
Published in:British journal of plastic surgery 2001-03, Vol.54 (2), p.167-168
Main Authors: Gahankari, Dilipkumar, Malyon, Andy, Weiler-Mithoff, Eva M.
Format: Article
Language:English
Subjects:
Adult
Anastomosis, Surgical - methods
anastomotic avulsion
Biological and medical sciences
Breast Neoplasms - surgery
breast reconstruction
Carcinoma, Ductal, Breast - surgery
DIEP flap
Female
Graft Survival - physiology
Humans
Mammaplasty - methods
Medical sciences
Patient Education as Topic
Range of Motion, Articular
shoulder abduction
Shoulder Joint
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Surgical Flaps - blood supply
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Summary:We report a case of anastomotic avulsion following a free deep inferior epigastric perforator (DIEP) flap reconstruction immediately after mastectomy for carcinoma of the breast. This occurred on the 5th postoperative day when the patient was allowed a showed and abducted her shoulders to wash her hair. The aim of this report is to make readers aware of such a possibility, and we suggest exercising caution in early mobilisation of the upper limb after free-flap breast reconstruction.
ISSN:0007-1226
1465-3087
DOI:10.1054/bjps.2000.3516