Optimising the unilateral DIEP flap breast reconstruction: A United Kingdom-Netherlands multi-centre comparative study
The present study demonstrates that operative workflow, case-mix, and perioperative pathways may influence efficiency and complication profiles without altering flap survival. Pragmatic improvements include ERAS implementation, co-surgeon operating, lean optimisation, and tailored planning for higher-risk patients.
Authors
- Dariush Nikkhah (ORCID: https://orcid.org/0000-0001-5819-8740)
- Petko Shtarbanov
- Hinne A. Rakhorst (ORCID: https://orcid.org/0000-0002-1663-6092)
- Punn Tannirandorn
- Stephen F. Hamilton
- Shadi Ghali
- Sophie Riesmeijer
- Afshin Mosahebi
- Zahra Ahmed
- Maximilian Jacobi
Institutions
- Royal Free London NHS Foundation Trust (GB)
- Medisch Spectrum Twente (NL)
- Ziekenhuis Groep Twente (NL)
- University College London (GB)
Publication Details
- Journal
- JPRAS Open
- Published
- 2026-01-15
- DOI
- https://doi.org/10.1016/j.jpra.2026.01.014
- Primary Topic
- Enhanced Recovery After Surgery
- Type
- article
- Field-Weighted Citation Impact
- 0.00