Abstract
Identification and understanding of predictors for complications and aesthetic outcomes in free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flap are essential for successful breast reconstruction. The purpose of this study was to investigate predictors for complications and aesthetic outcomes in patients who underwent autologous breast reconstruction with free MS-TRAM flaps. Between March 2003 and September 2017, a total of 214 patients who underwent breast reconstruction with MS-TRAM flaps were included in this study. Mean age of the patients was 43.2 years (range, 28-61 years). Four outcome data, including operation time, hospital stay, aesthetic scores, and complications; and 12 patient data, including recipient vessel type, age, body mass index [BMI] > 25, smoking status, neoadjuvant chemotherapy, radiotherapy, nipple-sparing mastectomy, contralateral breast surgery, history of hypertension, diabetes mellitus, cardiac disease, and endocrine disease were collected. Five and 52 patients experienced major complications, including partial flap loss, and minor complications, respectively. In stepwise multiple logistic analysis, risk factors for complications were BMI > 25 (P < 0.001), smoking status (P = 0....Continue Reading
References
Dec 1, 1989·Plastic and Reconstructive Surgery·S S Kroll, D T Netscher
Apr 1, 1984·British Journal of Plastic Surgery·W F ReusJ P Heggers
Jul 1, 1982·British Journal of Plastic Surgery·C KragS H Shapiro
Dec 1, 1995·British Journal of Plastic Surgery·Z M ArnezF Planinsek
Jun 12, 1998·Plastic and Reconstructive Surgery·K T PaigeG Jones
Mar 21, 2000·Plastic and Reconstructive Surgery·S L Spear, C Onyewu
Jun 9, 2000·Plastic and Reconstructive Surgery·D W ChangS S Kroll
Sep 15, 2000·Plastic and Reconstructive Surgery·S S Kroll
Apr 28, 2006·Annals of Plastic Surgery·Jesse C SelberJoseph M Serletti
Oct 15, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·C RubinoM A Cavazzuti
Dec 18, 2012·Annals of Plastic Surgery·Sameer A PatelNeal S Topham
Mar 26, 2014·Microsurgery·Hossein MasoomiGarrett A Wirth
Dec 24, 2014·Annals of Plastic Surgery·Kyeong-Tae Lee, Goo-Hyun Mun
Nov 1, 2016·Journal of Reconstructive Microsurgery·Aaron B MullTerence M Myckatyn
Dec 19, 2016·The Breast : Official Journal of the European Society of Mastology·Nicole IlonzoAye Moe Thu Ma