Safety and efficacy of perforator flap breast reconstruction with combined intraabdominal procedures

William J. Casey, Alanna M. Rebecca, Lewis A. Andres, Randall O. Craft, Anthony A. Smith, Barbara A. Pockaj, Rosanne M. Kho, Paul M. Magtibay

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Genetic testing for BRCA mutations has led to greater needs for breast reconstruction and prophylactic gynecologic procedures. A retrospective review of all perforator flap breast reconstructions was performed over 5 years. A total of 316 flaps were performed on 232 patients. Nineteen patients had an intraabdominal procedure at the time of their breast reconstruction, including 8 unilateral and 11 bilateral reconstructions (22 flaps). The concomitant procedures incurred an additional mean operative time of 61 minutes. One arterial thrombosis occurred leading to a single flap failure (1/30, 3.3%). No significant differences were noted in complication rates between the combined group and those who did not have a simultaneous procedure (anastomotic complications 3.3% vs. 7.7%; failure rate 3.3% vs. 3.1%; abdominal wound 10.5% vs. 15%; fat necrosis 10% vs. 12.2%). The coordinated effort allowing simultaneous intraabdominal procedures and perforator flap breast reconstruction affords effective reconstruction for those requiring additional procedures without an increase in postoperative complication rates.

Original languageEnglish (US)
Pages (from-to)144-150
Number of pages7
JournalAnnals of plastic surgery
Volume64
Issue number2
DOIs
StatePublished - Feb 1 2010

Keywords

  • Perforator flap breast reconstruction
  • Simultaneous intraabdominal procedure

ASJC Scopus subject areas

  • Surgery

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