Going DIEP: How My Surgical Technique Has Evolved to Optimize Patient Outcomes After Abdominal Autologous Breast Reconstruction Surgery (Sponsored by BD Phasix™ Mesh) | Insights from Industry-DIEP: How My Surgical Technique Has Evolved to Optimize Patient Outcomes After Abdominal Autologous Breast Reconstruction Surgery

DIEP: How My Surgical Technique Has Evolved to Optimize Patient Outcomes After Abdominal Autologous Breast Reconstruction Surgery

Back to course

Video Transcription

Video Summary

In the virtual presentation, participants were briefed on the format, encouraging questions to enhance the interactive session. The focus was on the surgical techniques and strategies in deep flap breast reconstruction, led by Dr. Maurice Nahabinian, a renowned expert in the field. Dr. Nahabinian emphasized the significance of perforator flaps in preserving muscle and nerves during procedure, offering detailed insights into the surgical process, complications management, and the application of resorbable phasics mesh for abdominal reinforcement. The discussion highlighted discrepancies between abdominal reinforcement techniques like onlay and underlay mesh and underscored the role of preoperative planning and intraoperative adjustments to optimize surgical outcomes. Attendees were introduced to fluorescent angiography's utility in assessing tissue perfusion and noted its critical role in predicting and preventing tissue necrosis. A robust Q&A session followed, in which Dr. Nahabinian addressed concerns about fascia closure, mesh usage, seroma rates, and the interpretation of Spysangography results. Code utilization for insurance purposes and the reinforcement of surgical incisions with mesh were also touched upon, illustrating the practical aspects of surgical billing and patient counseling. The presentation underlined the evolving techniques in deep flap breast reconstruction, with a push towards better patient outcomes, fewer complications, and the adroit use of evolving technologies in surgical procedures.

Keywords

deep flap breast reconstruction

surgical techniques

perforator flaps

Dr. Maurice Nahabinian

fluorescent angiography

abdominal reinforcement

preoperative planning

intraoperative adjustments

tissue perfusion

mesh usage