The deep inferior epigastric perforator flap for breast reconstruction in overweight and obese patients.

摘要: The authors retrospectively reviewed the computerized records of 71 women undergoing 80 deep inferior epigastric perforator (DIEP) flap reconstructions after mastectomy over a 1-year period. There were 33 normal, 26 overweight, and 12 obese patients. No statistically significant difference in complications was found between groups. Overall fat necrosis rates 11.4 percent for normal-weight patients, 6.7 overweight Postoperative hospital time similar all occurrence abdominal wall fascial laxity uncommon Large (>900 g) completed without prohibitive reconstruction flap. DIEP represents advance autologous breast tissue reconstruction. Although concerns regarding flaps have been voiced, did not see an increasing rate their overall is comparable to reported free transverse rectus abdominis myocutaneous (TRAM) flaps. Also, body mass index seem affect delayed wall, such as hernia or bulging. it significant, observe trend toward increased wound-healing with index. Their data also support claim that complete sparing muscles afforded by avoids bulging defects often seen TRAM Because wound complication are superior those other techniques but eliminated, likely preferred technique