title: Safety and efficacy of perforator flap breast reconstruction with combined intraabdominal procedures.
abstract: Genetic testing for BRCA mutations has led to greater needs for breast reconstruction and prophylactic gynecologic procedures. A retrospective review of all perforator flap breast reconstructions was performed over 5 years. A total of 316 flaps were performed on 232 patients. Nineteen patients had an intraabdominal procedure at the time of their breast reconstruction, including 8 unilateral and 11 bilateral reconstructions (22 flaps). The concomitant procedures incurred an additional mean operative time of 61 minutes. One arterial thrombosis occurred leading to a single flap failure (1/30, 3.3%). No significant differences were noted in complication rates between the combined group and those who did not have a simultaneous procedure (anastomotic complications 3.3% vs. 7.7%; failure rate 3.3% vs. 3.1%; abdominal wound 10.5% vs. 15%; fat necrosis 10% vs. 12.2%). The coordinated effort allowing simultaneous intraabdominal procedures and perforator flap breast reconstruction affords effective reconstruction for those requiring additional procedures without an increase in postoperative complication rates.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA. Casey. williamjoseph@mayo.edu
authors.forename: William J
authors.initials: WJ
authors.lastname: Casey
authors.forename: Alanna M
authors.initials: AM
authors.lastname: Rebecca
authors.forename: Lewis A
authors.initials: LA
authors.lastname: Andres
authors.forename: Randall O
authors.initials: RO
authors.lastname: Craft
authors.forename: Anthony A
authors.initials: AA
authors.lastname: Smith
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Pockaj
authors.forename: Rosanne M
authors.initials: RM
authors.lastname: Kho
authors.forename: Paul M
authors.initials: PM
authors.lastname: Magtibay
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000453:epidemiology / Q000235:genetics / Q000601:surgery; D015897:Comorbidity; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D016462:Mammaplasty; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000453:epidemiology / Q000601:surgery; D012189:Retrospective Studies; D013524:Surgical Flaps