Abdominal wall stability and flap complications after deep inferior epigastric perforator flap breast reconstruction: Does body mass index make a difference? Analysis of 418 patients and 639 flaps

Plastic and Reconstructive Surgery

Volumn 130, Issue 1, 2012, Pages

  Ochoa, Oscar ^a   Chrysopoulo, Minas ^a   Nastala, Chet ^a   Ledoux, Peter ^a   Pisano, Steven ^a  

^a Plastic Reconstructive and Microsurgical Associates of South Texas PA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL WALL; ADULT; AGED; ARTICLE; BODY MASS; BREAST RECONSTRUCTION; COMPARATIVE STUDY; EPIGASTRIC ARTERY; FEMALE; FOLLOW UP; HUMAN; INCIDENCE; METHODOLOGY; MIDDLE AGED; MORBID OBESITY; PATHOPHYSIOLOGY; PATIENT SATISFACTION; PLASTIC SURGERY; POSTOPERATIVE COMPLICATION; RETROSPECTIVE STUDY; RISK FACTOR; VASCULARIZATION;

ABDOMINAL WALL; ADULT; AGED; BODY MASS INDEX; EPIGASTRIC ARTERIES; FEMALE; FOLLOW-UP STUDIES; HUMANS; INCIDENCE; MAMMAPLASTY; MIDDLE AGED; OBESITY, MORBID; PATIENT SATISFACTION; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; RISK FACTORS; SURGICAL FLAPS;

EID: 84863469819     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/PRS.0b013e3182547d09     Document Type: Article

References (30)

1. Hartrampf CR, Scheflan M, Black PW. Breast reconstruction with a transverse abdominal island flap. Plast Reconstr Surg. 1982;69:216-225.
2. Watterson PA, Bostwick J III, Hester YR Jr, Bried JT, Taylor GI. TRAM flap anatomy correlated with a 10-year clinical experience with 556 patients. Plast Reconstr Surg. 1995;95: 1185-1194.
3. Paige KT, Bostwick J III, Bried JT, Jones G. A comparison of morbidity from bilateral, unipedicled and unilateral, unipedicled TRAM flap breast reconstructions. Plast Reconstr Surg. 1998;101:1819-1827.
4. Scheflan M, Kalisman M. Complications of breast reconstruction. Clin Plast Surg. 1984;11:343-350.
5. Hartrampf CR Jr, Bennett GK. Autogenous tissue reconstruction in the mastectomy patient: A critical review of 300 patients. Ann Surg. 1987;205:508-519.
6. Scheflan M, Dinner MI. The transverse abdominal island flap: Part I. Indications, contraindications, results, and complications. Ann Plast Surg. 1983;10:24-35.
7. Holmström H. The free abdominoplasty flap and its use in breast reconstruction: An experimental study and clinical case report. Scand J Plast Reconstr Surg. 1979;13:423-427.
8. Schusterman MA, Kroll SS, Weldon ME. Immediate breast reconstruction: Why the free TRAM over the conventional TRAM flap? Plast Reconstr Surg. 1992;90:255-261; discussion 262.
9. Nahabedian MY, Dooley W, Singh N, Manson PN. Contour abnormalities of the abdomen after breast reconstruction with abdominal flaps: The role of muscle preservation. Plast Reconstr Surg. 2002;109:91-101.
10. Alderman AK, Wilkins EG, Kim HM, Lowery JC. Complications in postmastectomy breast reconstruction: Two-year results of the Michigan Breast Reconstruction Outcome Study. Plast Reconstr Surg. 2002;109:2265-2274.
11. Chang DW, Wang B, Robb GL, et al. Effect of obesity on flap and donor-site complications in free transverse rectus abdominis myocutaneous flap breast reconstruction. Plast Reconstr Surg. 2000;105:1640-1648.
12. Blondeel N, Vanderstraeten GG, Monstrey SJ, et al. The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction. Br J Plast Surg. 1997;50:322-330.
13. Kroll SS. Fat necrosis in free transverse rectus abdominis myocutaneous and deep epigastric perforator flaps. Plast Reconstr Surg. 2000;106:576-583.
14. Bonde CT, Christensen DE, Elberg JJ. Ten years' experience of free flaps for breast reconstruction in a Danish microsurgical center: An audit. Scand J Plast Reconstr Surg Hand Surg. 2006;40:8-12.
15. Sheer AS, Novak CB, Neligan PC, Lipa JE. Complications associated with breast reconstruction using a perforator flap compared with a free TRAM flap. Ann Plast Surg. 2006;56: 355-358.
16. Man LX, Selber JC, Serletti JM. Abdominal wall following free TRAM or DIEP flap reconstruction: A meta-analysis and critical review. Plast Reconstr Surg. 2009;124:752-764.
17. Nahabedian MY, Tsangaris T, Momen B. Breast reconstruction with the DIEP flap or the muscle-sparing (MS-2) free TRAM flap: Is there a difference? Plast Reconstr Surg. 2005: 115;436-444; discussion 445-446.
18. Spear SL, Ducic I, Cuoco F, Taylor N. Effect of obesity on flap and donor-site complications in pedicled TRAM flap breast reconstruction. Plast Reconstr Surg. 2007;119:788-795.
19. Gill PS, Hunt JP, Guerra AM, et al. A 10-year retrospective review of 758 DIEP flaps for breast reconstruction. Plast Reconstr Surg. 2004;113:1153-1160.
20. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008. JAMA 2010;303:235-241.
21. Drazan L, Vesely J, Hyza P, et al. Bilateral breast reconstruction with DIEP flaps: 4 years' experience. J Plast Reconstr Aesthet Surg. 2008;61:1309-1315.
22. Selber JC, Serletti JM. The deep inferior epigastric perforator flap: Myth and reality. Plast Reconstr Surg. 2010;125:50-58.
23. Sullivan SR, Fletcher DR, Isom CD, Isik FF. True incidence of all complications following immediate and delayed breast reconstruction. Plast Reconstr Surg. 2008;122:19-28.
24. Seidenstuecker K, Munder B, Mahajan AL, Richrath P, Behrendt P, Andree C. Morbidity of microsurgical breast reconstruction in patients with comorbid conditions. Plast Reconstr Surg. 2011;127:1086-1092.
25. Chen CM, Halvorson EG, Disa JJ, et al. Immediate postoperative complications in DIEP versus free/muscle-sparing TRAM flaps. Plast Reconstr Surg. 2007;120:1477-1482.
26. Garvey PB, Buchel EW, Pockaj BA, et al. DIEP and pedicled TRAM flaps: A comparison of outcomes. Plast Reconstr Surg. 2006;117:1711-1719; discussion 1720-1721.
27. Parrett BM, Caterson SA, Tobias AM, Lee BT. DIEP flaps in women with abdominal scars: Are complication rates affected? Plast Reconstr Surg. 2008;121:1527-1531.
28. Keller A. The deep inferior epigastric perforator free flap for breast reconstruction. Ann Plast Surg. 2001;46:474-479; discussion 479-480.
29. Vyas RM, Dickinson BP, Fastekjian JH, Watson JP, Dalio AL, Crisera CA. Risk factors for abdominal donor-site morbidity in free flap breast reconstruction. Plast Reconstr Surg. 2008; 121:1519-1526.
30. Garvey PB, Buchel EW, Pockaj BA, Gray RJ, Samson TD. The deep inferior epigastric perforator flap for breast reconstruction in overweight and obese patients. Plast Reconstr Surg. 2005;115:447-457.