Our Summary

The research paper discusses a new approach to breast reconstruction surgery after a mastectomy, which is the surgical removal of one or both breasts. The scientists used a technique called DIEP (deep inferior epigastric perforator) flap, which involves using skin, fat and blood vessels from the patient’s lower abdomen to rebuild the breast. This method is often likened to a combination of a tummy tuck and breast augmentation but requires more expertise and usually needs a longer hospital stay.

In this study, they have created a new protocol or method to make the recovery process faster and easier. This includes steps like using local anesthesia during surgery, a specific technique for harvesting the DIEP flap, preserving the rib and chest muscle, and using preventative blood-thinning drugs.

They tested this new procedure on 14 patients, who had a total of 27 flaps for breast reconstruction. All patients were able to leave the hospital within 23 hours after surgery, and there were no failures of the reconstructed flaps. Only one patient had a complication with the abdominal incision, but there was no serious infection.

The researchers conclude that with this new procedure, breast reconstruction with the DIEP flap can be performed safely as an outpatient procedure, allowing patients to leave the hospital within 23 hours after surgery.

FAQs

  1. What is the deep inferior epigastric perforator (DIEP) flap method in breast reconstruction?
  2. What is the protocol followed for recovery after undergoing the DIEP flap breast reconstruction?
  3. Can the DIEP flap breast reconstruction be safely performed in an outpatient setting?

Doctor’s Tip

One helpful tip a doctor might tell a patient about a tummy tuck is to follow the postoperative recovery protocol carefully, including taking any prescribed medications, avoiding strenuous activities, and attending follow-up appointments. Additionally, maintaining a healthy lifestyle with a balanced diet and regular exercise can help optimize and maintain the results of the tummy tuck procedure.

Suitable For

Patients who are typically recommended for a tummy tuck, specifically in the context of breast reconstruction with autologous tissue using the DIEP flap, include those who have undergone mastectomies and are seeking breast reconstruction. These patients may have a desire for a more natural-looking breast shape and size following their mastectomy. Additionally, patients who are considered good candidates for the procedure are those who are in good overall health, do not smoke, and have realistic expectations for the outcome of the surgery. It is important for patients to consult with a qualified plastic surgeon to determine if they are suitable candidates for a tummy tuck procedure.

Timeline

Before the tummy tuck procedure:

  • Patient consultation with a plastic surgeon to discuss goals and expectations
  • Pre-operative evaluation and planning for the surgery
  • Patient may be advised to quit smoking and stop certain medications to reduce complications
  • Surgery day preparation including fasting and arrival at the surgical facility

After the tummy tuck procedure:

  • Patient will wake up in a recovery room and be monitored closely by medical staff
  • Post-operative care including pain management and monitoring for complications
  • Patient may need to stay in the hospital for a few days for observation and recovery
  • Follow-up appointments with the plastic surgeon for wound care and monitoring progress
  • Gradual return to normal activities and exercise with restrictions as advised by the surgeon
  • Long-term follow-up to monitor results and address any concerns or complications.

What to Ask Your Doctor

Some questions a patient should ask their doctor about tummy tuck surgery include:

  1. Am I a good candidate for a tummy tuck procedure?
  2. What are the potential risks and complications associated with tummy tuck surgery?
  3. What type of tummy tuck technique do you recommend for me?
  4. Will I need to stay in the hospital after the surgery, or is it possible for me to have an outpatient procedure like the DIEP flap breast reconstruction described in the study?
  5. What is the expected recovery time following a tummy tuck procedure?
  6. How long will I need to wear a compression garment after the surgery?
  7. Will I have any scarring after the tummy tuck procedure, and if so, how can I minimize it?
  8. What kind of follow-up care will be required after the surgery?
  9. Are there any restrictions on physical activity or diet that I should follow after the surgery?
  10. Can you provide before and after photos of patients who have undergone tummy tuck surgery with similar body types to mine?

Reference

Authors: Martinez CA, Reis SM, Rednam R, Boutros SG. Journal: Plast Reconstr Surg Glob Open. 2018 Sep 14;6(9):e1898. doi: 10.1097/GOX.0000000000001898. eCollection 2018 Sep. PMID: 30349784