The purpose of this study is to identify and compare complication rates between autologous breast reconstruction techniques with and without the inclusion on intraoperative indocyanine green (ICG) angiography.
ICG-angiography is a real-time visualization of tissue perfusion using intravenous fluorescence. It allows the surgeon a tool for intraoperatively assessment of tissue perfusion of the autologous flap, providing a basis for trimming of hypo perfused areas. The study evaluates the effect of inclusion of this technique by examine postoperative outcomes retrospectively. This is done by differentiation between major and minor complications to evaluate the greatest gains of the intervention.
Study Type
OBSERVATIONAL
Enrollment
171
Major complications
Major complications included necrosis of most of the flap (2/3), total flap loss and surgical evacuated hematoma.
Time frame: Measured at 6 months followup.
Minor complications
A minor complication included clinical sign of infection, prolonged wound healing (defined as prolonged healing time requiring dressing changes assisted by health personnel), fat necrosis and skin necrosis.
Time frame: Measured from day 0 with 6 months followup
Timing of reconstruction
Comparison of the timing of the reconstruction with the complication rate, comparing immediate reconstructions with delayed reconstructions.
Time frame: Measured from day 0 with 6 months followup
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