Free flap breast reconstruction in advanced age: is it safe?

Plastic and Reconstructive Surgery
Jesse C SelberJoseph M Serletti

Abstract

Due to perceived medical and surgical risk, patients of advanced age may not be offered free flap breast reconstruction. The purpose of this study was to determine whether complications are actually higher in patients of advanced age. A review of 1031 muscle-sparing free transverse rectus abdominis musculocutaneous, deep inferior epigastric perforator, and superficial inferior epigastric artery flaps over 15 years was performed. There were 976 patients younger than 65 years and 55 patients aged 65 and older. Population variables, operative variables, and outcome variables were compared. Statistical analysis included chi-square, Fisher's exact, Mann-Whitney, and two-sample t tests. The mean age was 47 years (range, 24 to 79 years). The older group had a higher American Society of Anesthesiologists status (2.1 versus 1.9; p = 0.05), a higher prevalence of hypertension (38 percent versus 18 percent; p < 0.001), a higher average body mass index (30 versus 28; p = 0.039), and lower rates of preoperative (28 percent versus 13 percent; p = 0.016) and postoperative (17 percent versus 2 percent; p = 0.003) chemotherapy. In the older group, more blood transfusions (7 percent versus 2 percent; p = 0.03) were administered and the coupler w...Continue Reading

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Citations

Jun 19, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Rika OhkumaAriel N Rad
Sep 3, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Nikolaos S LymperopoulosKenneth Graham
May 28, 2011·Plastic and Reconstructive Surgery·Esteban MarténJames E Zins
Mar 12, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·D D OhA J Spillane
Jan 7, 2015·Journal of Surgical Oncology·Mark SiscoKatharine A Yao
Mar 5, 2011·Cancer Treatment Reviews·Lauren WaltonRiccardo A Audisio
Jan 22, 2011·The Breast Journal·Maurice Y NahabedianLior Heller
Feb 19, 2015·The British Journal of Surgery·R JamesR D Macmillan
Jan 18, 2011·European Annals of Otorhinolaryngology, Head and Neck Diseases·E E M NaoA Bozec
Aug 9, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·K E Hamnett, A Subramanian
Mar 21, 2017·Microsurgery·Galip Gencay ÜstünOzan Bitik
Jan 31, 2013·Archives of Plastic Surgery·Claragh Healy, Venkat Ramakrishnan
Mar 17, 2011·Annals of Plastic Surgery·Eric I ChangChristopher A Crisera
Mar 7, 2017·Turkish Journal of Medical Sciences·Ali Emre AksuTunç Şafak
Mar 13, 2019·Plastic and Reconstructive Surgery. Global Open·Danny S RohIndranil Sinha
Jan 13, 2018·Cancer Control : Journal of the Moffitt Cancer Center·Lauren V KuykendallDeniz Dayicioglu
Apr 5, 2018·Revista do Colégio Brasileiro de Cirurgiões·Walter Koiti MatsumotoRolf Gemperli

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