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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)

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Scheer, A.S. et al.

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

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.[1]

References

Complications associated with breast reconstruction using a perforator flap compared with a free TRAM flap. Scheer, A.S., Novak, C.B., Neligan, P.C., Lipa, J.E. Annals of plastic surgery. (2006) [Pubmed]

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