Defining Mastectomy Skin Flap Necrosis: A Systematic Review of the Literature and a Call for Standardization

Nicholas C Oleck, Cindy Gu, Bryan J Pyfer, Brett T Phillips
Defining Mastectomy Skin Flap Necrosis: A Systematic Review of the Literature and a Call for Standardization

Mastectomy skin flap necrosis following breast reconstruction may lead to wound dehiscence, infection, implant exposure, and reconstructive failure. The absence of a standardized definition for it has led to variation in estimated incidence, from as low as 2 percent to greater than 40 percent. The authors systematically reviewed the literature on mastectomy skin flap necrosis to characterize existing definitions and provide a framework for future classification.

 A systematic review of the PubMed and Cochrane databases identified studies reporting a discrete definition of mastectomy skin flap necrosis and corresponding outcomes in breast reconstruction. Provided definitions were extracted, categorized, and comparatively analyzed.

Reported mastectomy skin flap necrosis definitions and outcomes vary significantly in the existing literature. For accurate characterization and quantification, a clear, simplified, consensus definition must be adopted.

Read full article here: https://pubmed.ncbi.nlm.nih.gov/35245258/