Abdominal donor-site complications following autologous breast reconstruction: A multi-institutional multisurgeon study1

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dc.authoridSIDDIKOGLU, Duygu/0000-0002-5093-7948
dc.authoridLe, Elliot Long Hoang/0000-0001-6722-8243
dc.authoridFrench, Mackenzie/0000-0003-4839-3205
dc.contributor.authorFisher, Marlie H.
dc.contributor.authorOhmes, Lucas B.
dc.contributor.authorYang, Jerry H.
dc.contributor.authorLe, Elliot
dc.contributor.authorColakoglu, Salih
dc.contributor.authorFrench, Mackenzie
dc.contributor.authorSiddikoglu, Duygu
dc.date.accessioned2025-01-27T20:38:58Z
dc.date.available2025-01-27T20:38:58Z
dc.date.issued2024
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: The deep inferior epigastric perforator (DIEP) free flap is the gold standard procedure for autologous breast reconstruction. Although breast-related complications have been well described, donor-site complications and contributing patient risk factors are poorly understood. Methods: We examined a multi-institutional, prospectively maintained database of patients undergoing DIEP free flap breast reconstruction between 2015 and 2020. We evaluated patient modeling was used to predict donor-site outcomes based on patient characteristics. Results: A total of 661 patients were identified who underwent DIEP free flap breast reconstruction across multiple institutions. Using logistic regression modeling, we found that body mass index (BMI) was an independent risk factor for umbilical complications (odds ratio [OR] 1.11, confidence interval [CI] 1.04-1.18, p = 0.001), seroma (OR 1.07, CI 1.01-1.13, p = 0.003), wound dehiscence (OR 1.10, CI 1.06-1.15, p = 0.001), and surgical site infection (OR 1.10, CI 1.05-1.15, p = 0.001) following DIEP free flap breast reconstruction. Further, immediate reconstruction decreases the risk of abdominal bulge formation (OR 0.22, CI 0.108-0.429, p = 0.001). Perforator selection was not associated with abdominal morbidity in Conclusions: Higher BMI is associated with increased abdominal donor-site complications following DIEP free flap breast reconstruction. Efforts to lower preoperative BMI may help de (c) 2024 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.
dc.identifier.doi10.1016/j.bjps.2024.01.033
dc.identifier.endpage94
dc.identifier.issn1748-6815
dc.identifier.issn1878-0539
dc.identifier.pmid38364673
dc.identifier.startpage88
dc.identifier.urihttps://doi.org/10.1016/j.bjps.2024.01.033
dc.identifier.urihttps://hdl.handle.net/20.500.12428/23820
dc.identifier.volume90
dc.identifier.wosWOS:001184894600001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofJournal of Plastic Reconstructive and Aesthetic Surgery
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectBreast reconstruction
dc.subjectDeep inferior epigastric perforator flap
dc.subjectHernia
dc.subjectAbdominal wall
dc.subjectBulge
dc.titleAbdominal donor-site complications following autologous breast reconstruction: A multi-institutional multisurgeon study1
dc.typeArticle

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