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CONCLUSION: Over half of our institution’s flap losses occurred after patient discharge, greater than 48 hours postoperatively. This finding contradicts the notion that the vast majority of flap losses happen in the immediate post-operative period, most commonly as a result of vascular compromise. The advancement of microsurgical techniques is reducing the frequency of flap loss during this early period, when flaps are closely monitored and prompt revision is possible. We did not identify any specific risk factors for delayed flap loss, though all were left-sided reconstructions. More studies are needed to elucidate the etiology of late flap losses. With greater emphasis on early patient discharge, perhaps more detailed patient education on return precautions is indicated to increase flap salvage rate in this group of patients.

Abstract QS42: Neo - Adjuvant Chemotherapy is Not Associated With Increased Risk of Complications in Immediate Autologous Breast Reconstruction