Ischemic complications in pedicle, free, and muscle sparing transverse rectus abdominis myocutaneous flaps for breast reconstruction

Annals of Plastic Surgery
Patricio AndradesLuis O Vasconez

Abstract

Muscle sparing and perforator flaps techniques for breast reconstruction have focused in reducing the donor site morbidity. Theoretically this may result in a less robust blood supply to the flap. The purpose of this study was to assess flap ischemic complications with the pedicle, free, and the different muscle sparing transverse rectus abdominis myocutaneous (TRAMs) flaps for breast reconstruction and determine the factors associated with these complications. A total of 301 consecutive patients that underwent 399 breast reconstructions were retrospectively reviewed. Patient, oncologic, and reconstruction data were recorded. A flap ischemic complication scale was design including: wound healing problems, skin flap necrosis, fat necrosis, partial flap loss, and total flap loss. Analysis of donor site complications, bilateral and unilateral reconstructions were also performed. There were 147 pedicle TRAM and 154 free TRAM with the following subgroup distribution: MS-0 = 102; MS-1 = 37; and MS-2 = 15 patients. The groups were comparable in relation to age, comorbidities, cancer stage, and treatment. The overall complication rate after reconstruction had no statistical differences between the groups. The variables related to flap ...Continue Reading

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Citations

Mar 1, 2013·Plastic and Reconstructive Surgery·Ibrahim KhansaBernard T Lee
Nov 28, 2013·Plastic and Reconstructive Surgery·Toni ZhongAndrea L Pusic
May 25, 2012·AJR. American Journal of Roentgenology·Chandana LallKumaresan Sandrasegaran
May 15, 2010·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Marijan NovakovićSasa Milićević
Apr 29, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Grace T UmDavid W Mathes
Feb 18, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Lin LiJiong Wu
Mar 13, 2013·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Fanny Maud Pinel-GirouxLucie Lalonde
Jan 21, 2015·Journal of the American College of Surgeons·Lisa F Schneider, Babak J Mehrara
Oct 16, 2016·Aesthetic Plastic Surgery·Samuel GolpanianSeth R Thaller
Dec 1, 2015·Archives of Plastic Surgery·Ji Hong YimJin Sup Eom
Jul 25, 2018·Journal of Plastic Surgery and Hand Surgery·Toke AlstrupTine Engberg Damsgaard
May 28, 2011·Plastic and Reconstructive Surgery·Joseph M SerlettiLouis P Bucky
Feb 9, 2019·Journal of Plastic Surgery and Hand Surgery·Yoshihiro SowaToshiaki Numajiri
Mar 15, 2014·Annals of Plastic Surgery·Juliano Carlos SbalchieroCésar Cabello dos Santos
Apr 2, 2013·Annals of Plastic Surgery·I Janelle WagnerEric Glenn Halvorson
May 1, 2013·Plastic and Reconstructive Surgery. Global Open·Carolyn L MulveyJustin M Sacks
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Efstathios KaramanosAmita R Shah

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