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Haddock et al. Plast Aesthet Res 2024;11:47 Plastic and
DOI: 10.20517/2347-9264.2024.60
Aesthetic Research

Systematic Review Open Access

Operative efficiency in autologous breast
reconstruction: a systematic review

Nicholas T. Haddock , Thomas Steele, Sumeet S. Teotia

Department of Plastic Surgery, University of Texas Southwestern, Dallas, TX 75390, United States.
Correspondence to: Dr. Nicholas T. Haddock, Department of Plastic Surgery, University of Texas Southwestern, 1801 Inwood Rd,
Dallas, TX 75390, United States. E-mail: nicholas.haddock@utsouthwestern.edu

How to cite this article: Haddock NT, Steele T, Teotia SS. Operative efficiency in autologous breast reconstruction: a systematic
review. Plast Aesthet Res 2024;11:47. https://dx.doi.org/10.20517/2347-9264.2024.60

Received: 19 Apr 2024 First Decision: 1 Jul 2024 Revised: 8 Jul 2024 Accepted: 28 Aug 2024 Published: 4 Sep 2024

Academic Editors: Christodoulos Kaoutzanis, Pietro Gentile, Jian-Qing Wang Copy Editor: Yu-Fei Wang Production Editor: Yu-
Fei Wang

Abstract
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is
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of
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Breast cancer leading cause cancer women worldwide. With increased public awareness routine breast
cancer screening, the incidence mastectomy and, therefore, breast reconstruction continues increase year
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to
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over year. Value-based healthcare has become universal priority medical systems. systematic review the
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A
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literature was performed March 2024 across four electronic databases (PubMed, Embase, Google Scholar, and
MEDLINE) and accordance with the PRISMA guidelines. Screening was performed two levels (title/abstract
in
at
and full text screening) by two independent reviewers. Data items extracted included: year, authors, country, study
size, duration, strategy implemented, main aims, area application, study design and methodology, outcomes,
of
relevant statistical analysis, and follow-up. Eleven articles were identified that met all inclusion criteria. Six were
retrospective reviews and five were prospective cohort studies. The efficiency models implemented included Lean
in
Six Sigma, the Four Disciplines Execution, and process mapping and analysis. Emphasizing efficiency pivotal
of
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delivering outstanding breast reconstruction services and enhancing the overall patient journey.
Keywords: Autologous breast reconstruction, microsurgery, DIEP, efficiency, process analysis
INTRODUCTION
The predominant method of breast reconstruction both in the United States and globally is prosthetic-

© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0
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