Perioperative Management of DIEP Flaps

Perioperative Management of Deep Inferior Epgastric Perforator (DIEP) Flap for Breast Reconstruction

By comparison of two different protocols with diverse fluid/ catecholamine administration limits (fluid restriction vs. catecholamine restriction with target systolic blood pressure > 100 mmHg) the investigators would like to reveal the impact of intraoperative blood pressure management on the survival rate of free deep inferior epigastric artery flaps for breast reconstruction.

Inclusion criteria:

• Informed consent for study participation
• Every patient undergoing breast reconstruction (primary and secondary reconstruction) with deep inferior epigastric perforator flap at our hospital is offered to participate in the study

Exclusion criteria:

• No informed consent for study participation
• Patients with a high thromboembolic risk profile
• During pregnancy and breastfeeding
• Minors
• Patients with a health care proxy