DIEP flaps in women with abdominal scars: are complication rates affected?

摘要: BACKGROUND: Previous abdominal surgery may affect perforator anatomy and complication rates in patients undergoing deep inferior epigastric (DIEP) flap breast reconstruction. The purpose of this study was to determine whether scars DIEP reconstruction have an effect on donor-site complications. METHODS: Over a 3-year period, 168 were retrospectively divided into control group with no previous operations scar procedures. Flap wound complications compared between the two groups. RESULTS: Ninety (54 percent) underwent 114 flaps 78 (46 104 group. most common incisions Pfannenstiel, laparoscopic, midline. There significant difference groups age, body mass index (mean 27 kg/m2 both groups), smoking history, or radiation status. differences loss (1.8 percent versus 2.9 percent), partial 1.0 fat necrosis (15 14 percent, respectively). However, had significantly higher rate (24 (6.7 percent; p = 0.003). breakdown (12 seroma requiring operative drainage (6.4 laxity bulge (5.1 percent). CONCLUSIONS: With minor technical modifications, can be performed successfully without increased preexisting incisions. Despite these design should informed risk for complications.