One-stage DIEP flap breast reconstruction: Algorithm for immediate contralateral symmetrization

Microsurgery
Rosaria LaportaFabio Santanelli di Pompeo

Abstract

The aim of this study was to investigate clinical and aesthetic results of simultaneous contralateral balancing procedures in unilateral DIEP flap reconstructions by means of a symmetrization algorithm. Between 2004 and 2013, 335 patients underwent DIEP flap breast reconstruction with 48 patients (mean age 51.8 years, range 32-69 years) undergoing contralateral procedure. Patients were divided in Group-A including 31 cases who underwent one-stage procedure and Group-B including 17 cases who underwent staged procedure. A symmetrization algorithm was proposed to plan immediate breast reduction/mastopexy. The groups were homogeneous regarding patient's age, BMI, mastectomy and flap weight (P > 0.05). All flaps survived. No complications were observed to the mastectomy skin flaps and to the reduction mammaplasty/mastopexy procedures in both groups. The mean operation time was 5 h in Group-A while 5 h and 37 min in Group-B (P = 0.0682). Contralateral procedures included 23 breast reductions and 8 mastopexies in Group-A, while 10 breast reductions and 7 mastopexies were performed in Group-B. Two and 6 patients required revision of the balancing procedure in Group-A and Group-B, respectively. The follow-up time was 47.3 months (range ...Continue Reading

References

Nov 1, 1989·British Journal of Plastic Surgery·I Koshima, S Soeda
Sep 1, 1988·Annals of Plastic Surgery·P Berrino, P Santi
Jan 1, 1994·Annals of Plastic Surgery·R J Allen, P Treece
Aug 1, 1993·Plastic and Reconstructive Surgery·T R Stevenson, J A Goldstein
May 16, 1998·World Journal of Surgery·S W Gunn
Aug 6, 1999·British Journal of Plastic Surgery·P N Blondeel
Jun 28, 2002·Plastic and Reconstructive Surgery·Albert LoskenMark Schoemann
Aug 5, 2005·Plastic and Reconstructive Surgery·Michael CohenKeith E Brandt
May 22, 2010·Annals of Plastic Surgery·Jörg DabernigAndrew M Hart
Jul 27, 2010·Annals of Plastic Surgery·Fabio SantanelliClaudio Amanti
Apr 5, 2011·Plastic and Reconstructive Surgery·Salih ColakogluBernard T Lee
May 3, 2011·Plastic and Reconstructive Surgery·Fabio SantanelliGuido Paolini
Jun 29, 2013·Plastic and Reconstructive Surgery·Benedetto LongoFabio Santanelli

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Citations

May 7, 2020·Advances in Skin & Wound Care·Xiaoli LouHongda Bi
Jun 14, 2017·Plastic and Reconstructive Surgery. Global Open·Olivia A HoMing-Huei Cheng
Aug 2, 2017·Microsurgery·Rosaria LaportaFabio Santanelli di Pompeo
Sep 25, 2021·Aesthetic Plastic Surgery·Fabio Santanelli Di PompeoPaolo Persichetti

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