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Case Reports in Surgery
Volume 2016, Article ID 9168154, 4 pages
http://dx.doi.org/10.1155/2016/9168154
Case Report

Successful Deep Inferior Epigastric Perforator Flap Harvest despite Preoperative Therapeutic Subcutaneous Heparin Administration into the Abdominal Pannus

1School of Clinical Medicine, University of Cambridge, Cambridge CB2 0SP, UK
2Plastic & Reconstructive Surgery Department, Addenbrooke’s University Hospital, Cambridge CB2 0QQ, UK
3Cambridge Breast Unit, Addenbrooke’s University Hospital, Cambridge CB2 0QQ, UK
4Postgraduate Medical Institute, Faculty of Health Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK

Received 14 April 2016; Accepted 25 July 2016

Academic Editor: Yehuda Ullmann

Copyright © 2016 Joseph W. Duncumb et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. S. H. Bailey, M. Saint-Cyr, C. Wong et al., “The single dominant medial row perforator DIEP flap in breast reconstruction: three-dimensional perforasome and clinical results,” Plastic and Reconstructive Surgery, vol. 126, no. 3, pp. 739–751, 2010. View at Publisher · View at Google Scholar · View at Scopus
  2. J. E. Ireton, C. Lakhiani, and M. Saint-Cyr, “Vascular anatomy of the deep inferior epigastric artery perforator flap: a systematic review,” Plastic and Reconstructive Surgery, vol. 134, no. 5, pp. 810e–821e, 2014. View at Publisher · View at Google Scholar · View at Scopus
  3. A. T. Laungani, N. Van Alphen, J. A. Christner et al., “Three-dimensional CT angiography assessment of the impact of the dermis and the subdermal plexus in DIEP flap perfusion,” Journal of Plastic, Reconstructive and Aesthetic Surgery, vol. 68, no. 4, pp. 525–530, 2015. View at Publisher · View at Google Scholar · View at Scopus
  4. S. S. Kroll, “Fat necrosis in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps,” Plastic and Reconstructive Surgery, vol. 106, no. 3, pp. 576–583, 2000. View at Publisher · View at Google Scholar · View at Scopus
  5. J. A. Kelly and M. D. Pacifico, “Lateralising paraumbilical medial row perforators: Dangers and pitfalls in DIEP FLAP planning: a systematic review of 1116 DIEP flaps,” Journal of Plastic, Reconstructive and Aesthetic Surgery, vol. 67, no. 3, pp. 383–388, 2014. View at Publisher · View at Google Scholar · View at Scopus
  6. K. Azzawi, A. Ismail, H. Earl, P. Forouhi, and C. M. Malata, “Influence of neoadjuvant chemotherapy on outcomes of immediate breast reconstruction,” Plastic and Reconstructive Surgery, vol. 126, no. 1, pp. 1–11, 2010. View at Publisher · View at Google Scholar · View at Scopus
  7. K. Richards, P. Forouhi, A. Johnston, and C. M. Malata, “Pre-operative thrombotic complications of neoadjuvant chemotherapy for breast cancer: implications for immediate breast reconstruction,” Annals of Medicine and Surgery, vol. 4, no. 1, pp. 80–84, 2015. View at Publisher · View at Google Scholar · View at Scopus
  8. A. Hartkamp, A. J. H. Van Boxtel, B. A. Zonnenberg, and P. O. Witteveen, “Totally implantable venous access devices: evaluation of complications and a prospective comparative study of two different port systems,” Netherlands Journal of Medicine, vol. 57, no. 6, pp. 215–223, 2000. View at Publisher · View at Google Scholar · View at Scopus
  9. Y. Shi, L. Wen, Y. Zhou, and S. Tao, “Thrombotic risk factors in patients undergoing chemotherapy via peripherally inserted central catheter,” Journal of International Medical Research, vol. 42, no. 3, pp. 863–869, 2014. View at Publisher · View at Google Scholar · View at Scopus
  10. J. L. Baskin, C.-H. Pui, U. Reiss et al., “Management of occlusion and thrombosis associated with long-term indwelling central venous catheters,” The Lancet, vol. 374, no. 9684, pp. 159–169, 2009. View at Publisher · View at Google Scholar · View at Scopus
  11. J. L. Baskin, U. Reiss, J. A. Wilimas et al., “Thrombolytic therapy for central venous catheter occlusion,” Haematologica, vol. 97, no. 5, pp. 641–650, 2012. View at Publisher · View at Google Scholar · View at Scopus
  12. G. H. Guyatt, E. A. Akl, M. Crowther, D. D. Gutterman, and H. J. Schünemann, “Executive summary : antithrombotic therapy and prevention of thrombosis, 9th ed: american college of chest physicians evidence-based clinical practice guidelines,” Chest, vol. 141, no. 2, pp. 7S–47S, 2012. View at Publisher · View at Google Scholar · View at Scopus
  13. P. S. Fans and M. R. Kinney, “The abdomen, thigh, and arm as sites for subcutaneous sodium heparin injections,” Nursing Research, vol. 40, no. 4, pp. 204–207, 1991. View at Google Scholar · View at Scopus
  14. T. Pourghaznein, A. V. Azimi, and M. A. Jafarabadi, “The effect of injection duration and injection site on pain and bruising of subcutaneous injection of heparin,” Journal of Clinical Nursing, vol. 23, no. 7-8, pp. 1105–1113, 2014. View at Publisher · View at Google Scholar · View at Scopus
  15. F. S. Morrison, “Site for subcutaneous heparin injection,” Archives of Internal Medicine, vol. 152, no. 1, pp. 202–204, 1992. View at Google Scholar · View at Scopus
  16. O. P. Shelley, “DIEP flap perforators and prophylaxis—X marks the spot,” Journal of Plastic, Reconstructive and Aesthetic Surgery, vol. 59, no. 8, p. 891, 2006. View at Publisher · View at Google Scholar · View at Scopus
  17. R. B. O'Malley, T. J. Robinson, J. H. Kozlow, and P. S. Liu, “Computed tomography angiography for preoperative thoracoabdominal flap planning,” Radiologic Clinics of North America, vol. 54, no. 1, pp. 131–145, 2016. View at Publisher · View at Google Scholar · View at Scopus