Breast

Cancer and Reconstruction

Evaluation of Outcomes in Breast Reconstructions Combining Lower Abdominal Free Flaps and Permanent Implants

Roehl KR, Baumann DP, Chevray PM, et al (Univ of Texas M D Anderson Cancer Ctr, Houston) Plast Reconstr Surg 126:349-357, 2010^§

Abstract

Background

The purpose of this study was to evaluate outcomes in breast reconstruction combining lower abdominal flaps with implants and to compare the impact of timing of implant placement on complication and revision rates.

Methods

A retrospective review of all patients who underwent free transverse rectus abdominis musculocutaneous, muscle-sparing transverse rectus abdominis musculocutaneous, deep inferior epigastric perforator, or superficial inferior epigastric perforator flaps with implants at a single center over the past decade was performed. Patients were classified as having implant placement at the time of flap reconstruction or during a second procedure. The flap types, implant types/planes, flap and implant-related complications, and revision rates were compared between the groups.

Results

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