Breast reconstruction with immediate autologous free tissue transfer in a peri-operative COVID-19 positive patient: A case report illustrating feasibility of aftercare.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Olivia L Sharp, Dhalia Masud

Abstract

Globally, there has been a measured response to rationalise elective operating during the Coronavirus disease 2019 (COVID-19) pandemic. In terms of breast cancer care, this has led to a restricted provision of reconstruction with autologous free tissue transfer. A primary concern is the risk of mortality in elective surgery patients who develop COVID-19. The aim of this report is to describe the observed physiological impact of the virus on our patient, and to address how outpatient care after autologous free tissue transfer can be delivered to COVID-19 positive patients. In March 2020, we performed a bilateral breast reconstruction with a deep inferior epigastric perforator flap and a superficial inferior epigastric perforator flap. The patient became symptomatic on day three post-operatively, tested positive for COVID-19 and was discharged home. Drain and dressing management was continued through the use of telemedicine. Two weeks following the operation, a breast seroma formed that was drained semi-electively in the COVID-19 positive area of the Emergency Department. The patient visited the dressing clinic twice in total and healed after three weeks. Despite undergoing complex surgery and having pre-operative chemotherapy, o...Continue Reading

References

Jan 30, 2020·The New England Journal of Medicine·Qun LiZijian Feng
Mar 19, 2020·European Heart Journal·Tian-Yuan XiongMao Chen
Apr 27, 2020·American Journal of Surgery·Mahmoud Al-BalasHamzeh Al-Balas

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Citations

Sep 8, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Dhalia MasudRichard M Haywood
Sep 30, 2021·Plastic and Reconstructive Surgery. Global Open·Kshipra HemalNolan S Karp

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