Safety and efficacy of perforator flap breast reconstruction with combined intraabdominal procedures.
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.
Casey
William J
WJ
Division of Plastic and Reconstructive Surgery, Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA. Casey. williamjoseph@mayo.edu
Rebecca
Alanna M
AM
Andres
Lewis A
LA
Craft
Randall O
RO
Smith
Anthony A
AA
Pockaj
Barbara A
BA
Kho
Rosanne M
RM
Magtibay
Paul M
PM
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