Body mass index and abdominal wall thickness correlate with perforator caliber in free abdominal tissue transfer for breast reconstruction.

作者: Maxi Sacher , Roman N. Kapalschinski , Christoph Wallner , Johannes Maximilian Wagner , Mehran Dadras

DOI: 10.1016/J.BJPS.2019.10.014

关键词: SurgeryAbdominal wallDIEP flapComputed tomography angiographyUmbilicus (mollusc)Deep Inferior Epigastric ArteryBody mass indexRadiologyAnterior superior iliac spineMedicineBreast reconstruction

摘要: Abstract Introduction The aim of the study was to investigate relationship BMI and abdominal wall thickness (AWT) with diameter dominant deep inferior epigastric artery perforator (DIEP) as well DIEA branching pattern in preoperatively performed computed tomography angiography (CTA). Patients methods We conducted a retrospective including all patients undergoing DIEP flap breast reconstruction available CTAs from November 2013 April 2018 our department. caliber-strongest detected after passage rectus fascia superficial (SIEA) correlated AWT 5 cm above below umbilicus, lateral at level umbilicus anterior superior iliac spine (ASIS), BMI. Results Seventy-seven met inclusion criteria (age: 47.3 ± 8.9 years). observed significant (p  Conclusion demonstrated correlation both AWT. Focusing on diameter, high ASIS, SIEA, if present, may represent an alternative therapeutic option.

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