Complications associated with breast reconstruction using a perforator flap compared with a free TRAM flap.

Abstract:

:This study evaluated the recipient and donor site complications associated with breast reconstruction using a deep inferior epigastric artery perforator flap (DIEAP) flap compared with a free TRAM flap. The charts of 108 patients who underwent breast reconstruction using these techniques were reviewed. There were 130 flaps. Patients with free TRAM flaps had a significantly longer hospital stay (P=0.003). There were significantly more cases of fat necrosis in the unilateral DIEAP flaps (P=0.001). In patients who were overweight or obese (body mass index >25 kg/m), there were significantly more breast complications (P=0.006). There were more cases of abdominal flap necrosis at the donor site in smokers (P = 0.018) and the diabetic patients (P=0.013). This study suggests that postoperative complications are related to patient comorbidities, and personal factors and should be considered when selecting the most appropriate reconstructive option.

journal_name

Ann Plast Surg

authors

Scheer AS,Novak CB,Neligan PC,Lipa JE

doi

10.1097/01.sap.0000201549.83738.42

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

355-8

issue

4

eissn

0148-7043

issn

1536-3708

pii

00000637-200604000-00001

journal_volume

56

pub_type

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