The role of intraoperative and early postoperative assessment of skin flap perfusion in skin-sparing/subcutaneous mastectomies

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Abstract

The surgical stage is the main one in the complex and combined treatment of patients with breast cancer. After performing skin-sparing and subcutaneous mastectomies, there is a risk of postoperative complications in the form of skin flap necrosis associated with its insufficient perfusion. In order to reduce the incidence of postoperative complications, it is necessary to improve the quality of intraoperative assessment of skin flap perfusion after reconstructive plastic surgery on the mammary gland. This article reviews the literature on current issues of assessing the efficacy and safety of this technique. Indocyanine green angiography has been proposed to assess skin flap perfusion. 
The method involves intraoperative injection of dye followed by illumination of the skin flap to assess perfusion and remove non-viable tissue.

About the authors

R. K. Keremov

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia

Author for correspondence.
Email: dr.keremov@bk.ru
ORCID iD: 0009-0006-6012-4760

3 2-oy Botkinskiy Proezd, Moscow 125284

Russian Federation

A. D. Zikiryakhodzhaev

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia; Department of Oncology, Radiotherapy and Plastic Surgery, Institute of Clinical Medicine, I. M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

ORCID iD: 0000-0001-7141-2502

3 2-oy Botkinskiy Proezd, Moscow 125284

Build. 2, 8 Trubetskaya St., Moscow 119991

Russian Federation

F. N. Usov

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia

ORCID iD: 0000-0001-9510-1434

3 2-oy Botkinskiy Proezd, Moscow 125284

Russian Federation

M. V. Moshurova

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia

ORCID iD: 0000-0003-4141-8414

3 2-oy Botkinskiy Proezd, Moscow 125284

Russian Federation

D. Sh. Dzhabrailova

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia

ORCID iD: 0000-0002-7283-2530

3 2-oy Botkinskiy Proezd, Moscow 125284

Russian Federation

K. A. Naydina

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia

ORCID iD: 0000-0001-8371-6909

3 2-oy Botkinskiy Proezd, Moscow 125284

Russian Federation

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