Risk factors and complications in free TRAM flap breast reconstruction

Annals of Plastic Surgery
Jesse C SelberJoseph M Serletti

Abstract

The authors retrospectively reviewed 500 free TRAM flaps performed between 1992 and 2003. This cohort was subdivided based on smoking history, obesity, preoperative chemotherapy, preoperative radiation therapy, peripheral vascular disease, chronic obstructive pulmonary disease (COPD), and hypertension, and compared surgical complication rates. Measured complications included fat necrosis, mastectomy flap necrosis, abdominal flap necrosis, partial TRAM flap loss, wound infection, hematoma, seroma, vessel thrombosis, and abdominal hernia. Chi2 analysis and Fisher exact test were performed to determine differences between groups, and linear regression models were used to predict the risk factors of surgical complications. Smokers were more likely to have a higher incidence of wound infection (P = 0.01), mastectomy flap necrosis (P = 0.015), abdominal flap necrosis (P = 0.033), and fat necrosis (P = 0.01). Obese patients were more likely to have higher rates of mastectomy flap necrosis (P = 0.01) and hematoma (P = 0.01). Patients with peripheral vascular disease were more likely to have a higher incidence of wound infection (P = 0.031), and patients with preoperative radiation therapy were more likely to have a higher incidence of ...Continue Reading

References

Apr 1, 1978·Plastic and Reconstructive Surgery·L H MoselyM Goody
Aug 1, 1992·Plastic and Reconstructive Surgery·M A SchustermanM E Weldon
Dec 1, 1989·Plastic and Reconstructive Surgery·S S Kroll, D T Netscher
Apr 1, 1985·Plastic and Reconstructive Surgery·J NolanR C Schultz
Jun 1, 1985·Plastic and Reconstructive Surgery·S Craig, T D Rees
Apr 1, 1984·British Journal of Plastic Surgery·W F ReusJ P Heggers
Apr 1, 1984·British Journal of Plastic Surgery·W T LawrenceJ P Heggers
Jul 1, 1993·Annals of Surgery·T J EberleinE Eriksson
Aug 1, 1993·Plastic and Reconstructive Surgery·L F ElliottL Drazan
Oct 17, 1998·Plastic and Reconstructive Surgery·S S KrollB G Wang
Jun 9, 2000·Plastic and Reconstructive Surgery·D W ChangS S Kroll
Jul 27, 2002·Plastic and Reconstructive Surgery·Maurice Y NahabedianPaul N Manson

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Citations

Dec 7, 2010·Journal of the National Cancer Institute·S PotterJ M Blazeby
Apr 4, 2009·Plastic and Reconstructive Surgery·Li-Xing ManJoseph M Serletti
Apr 7, 2009·Plastic and Reconstructive Surgery·Joseph J DisaPeter G Cordeiro
Nov 26, 2009·Plastic and Reconstructive Surgery·Jesse C SelberJoseph M Serletti
Jul 3, 2010·Plastic and Reconstructive Surgery·Khayam AzzawiCharles M Malata
Mar 12, 2010·Plastic and Reconstructive Surgery·Frank P AlbinoHoward N Langstein
Jul 3, 2010·Plastic and Reconstructive Surgery·Samir S RaoMaurice Y Nahabedian
Oct 23, 2010·Plastic and Reconstructive Surgery·Joshua FosnotJoseph M Serletti
May 28, 2011·Plastic and Reconstructive Surgery·Shareef JandaliJoseph M Serletti
Jan 30, 2013·Plastic and Reconstructive Surgery·John P FischerJoseph M Serletti
Mar 1, 2013·Plastic and Reconstructive Surgery·Ibrahim KhansaBernard T Lee
Nov 28, 2013·Plastic and Reconstructive Surgery·Toni ZhongAndrea L Pusic
Oct 12, 2012·Annals of Surgical Oncology·Chirag ShahFrank Vicini
Jul 23, 2013·Annals of Surgical Oncology·Megan E MillerKatharine Yao
Jan 12, 2013·PloS One·Daniel John WomacKenneth David Chavin
Dec 6, 2014·Plastic Surgery International·David W GrantJohn Y S Kim
Sep 12, 2015·Journal of Plastic Surgery and Hand Surgery·Andri ThorarinssonHans Mark
Mar 25, 2016·Journal of the American College of Surgeons·Katelin B NickelMargaret A Olsen
Jan 30, 2016·Annals of Surgical Oncology·Margaret A OlsenVictoria J Fraser
Nov 6, 2012·The Journal of Surgical Research·Pham Hieu LiemShigehiko Suzuki
Sep 18, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Diego Marre, Bernardo Hontanilla
Oct 19, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Adeyemi A OgunleyeBernard T Lee
Oct 31, 2007·Clinics in Plastic Surgery·Wesley T MyersLinda G Phillips
Jul 24, 2007·The Journal of Surgical Research·Naoki MorimotoShigehiko Suzuki
Oct 1, 2015·Breast Cancer Research and Treatment·Lorraine T DeanJun J Mao
Apr 18, 2012·Cancer·Wendy Demark-WahnefriedSandra C Hayes
Feb 8, 2011·The American Journal of Medicine·Edward MillsJon O Ebbert
Mar 22, 2014·Microsurgery·Mark V Schaverien, Stephen J Mcculley
Nov 26, 2013·The Laryngoscope·Umang JainJohn Y S Kim
Mar 8, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M V Schaverien, D A Munnoch
Dec 3, 2014·Annales de chirurgie plastique et esthétique·I PluvyB Chaput
Aug 16, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Anne C O'NeillStefan Hofer
Oct 16, 2016·Aesthetic Plastic Surgery·Samuel GolpanianSeth R Thaller
Jan 27, 2017·Journal of Plastic Surgery and Hand Surgery·Andri ThorarinssonHans Mark
Feb 9, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Thomas A BuchholzEleftherios P Mamounas
May 2, 2017·Plastic and Reconstructive Surgery. Global Open·Pablo A BaltodanoGedge D Rosson
Nov 22, 2008·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·A E HandschinP Giovanoli

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