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. 2017 Oct 26;44(6):477–481. doi: 10.5999/aps.2017.00087

Table 1.

Articles related to the effect of e-cigarettes on surgical outcomes

No. Authors Title Journal Publication date Type of study Summary
1 Rau et al. [2] Electronic cigarettes are as toxic to skin flap survival as tobacco cigarettes. Plastic and Reconstructive Surgery Global Open 2016 May Abstract Compares the effect of vapor from e-cigarettes to that of traditional cigarettes (and a control group) on skin flap necrosis in a rat model. This study found that rates exposed to e-cigarettes have the same rates of skin flap necrosis as those exposed to traditional cigarettes, and significantly higher rates of skin flap necrosis compared to a control group.
2 Page et al. [3] The acute effects of electronic cigarette smoking on the cutaneous circulation. Journal of Plastic, Reconstructive and Aesthetic Surgery 2016 Apr Pilot study Preliminary results demonstrated that e-cigarette use results in reduced cutaneous blood flow when monitored using thermal imaging technology. The authors hypothesize that that e-cigarette use may impair wound healing and have adverse effects on surgical outcomes.
3 Krishnan et al. [4] Can e-cigarettes cause free flap failure? A case of arterial vasospasm induced by electronic cigarettes following microsurgical breast reconstruction. Plastic and Reconstructive Surgery Global Open 2016 Jan Case study Reported a case of a 48-year old female patient undergoing bilateral muscle-sparing TRAM flaps who experienced multiple episodes of vasospasm during her postoperative course. It was later revealed that the patient had been smoking e-cigarettes until the day of surgery.