Lean DIEP flap surgery: saving time and reducing complications
Juliette E. D. Jacobs, Nikki Beudeker, Claudia A. Bargon, Sabine Siesling, Narda Hendriks-Brouwer, Oliver T. Zöphel, Ute Schmidbauer, Yvonne C. M. M. Smulders, Johan G. Wijbenga & Hinne A. Rakhorst
The number of performed deep inferior epigastric perforator (DIEP) flaps for post-mastectomy breast reconstructions (PMBR) has shown a dramatic increase over the past decade. As this increased demand requires a higher proportion of operative capacities worldwide, there is a need for increased efficiency. Introduction of lean strategies might form a solution. Therefore, the purpose of this study was to assess the effects and outcomes of practising lean strategies in DIEP flap surgery over six years by analysing operation time and complications.
In this retrospective cohort study, all patients who underwent a DIEP flap for PMBR between January 2013 and May 2019 were included. Patient- and surgery related characteristics were collected. Duration of surgery and complication rates were compared.
Using lean strategies can safely reduce surgical time in DIEP flap breast reconstructions, while achieving, a reduction of complications.
Read more here: https://link.springer.com/article/10.1007/s00238-021-01836-y