title: Age and abdominal wall strength: assessing the aging abdominal wall after autologous breast reconstruction.
abstract: Autologous breast reconstruction is safe in advanced age, yet no study has examined its effects on the aging abdomen. We, therefore, studied 145 women who participated in a prospective study of abdominal strength following abdominal free flap breast reconstruction, comparing preoperative and late follow-up scores in patients ≥60 years old (11 unilateral, 13 bilateral) compared with patients <60 (58 unilateral, 63 bilateral). Simple in-office tests were utilized to test abdominal strength. No differences were noted in unilateral absolute scores at either time point, however, a decrease in upper abdominal strength was noted in the younger cohort over time (P = 0.01). Bilateral analyses revealed absolute score decreases in upper abdominal strength for both cohorts but no major differences between the two. We conclude that autologous breast reconstruction with abdominal tissue in older patients result in little to no difference in abdominal function as compared with younger patients.
authors.affiliation: Division of Plastic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Jonas A
authors.initials: JA
authors.lastname: Nelson
authors.forename: Joshua
authors.initials: J
authors.lastname: Fosnot
authors.forename: Jesse C
authors.initials: JC
authors.lastname: Selber
authors.forename: Liza C
authors.initials: LC
authors.lastname: Wu
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Serletti
mesh_terms: D034861:Abdominal Wall / Q000502:physiology* / Q000601:surgery; D000367:Age Factors; D000368:Aged; D000375:Aging; D005260:Female; D005500:Follow-Up Studies; D058752:Free Tissue Flaps / Q000637:transplantation*; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D053580:Muscle Strength; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D061525:Perforator Flap / Q000637:transplantation*; D011446:Prospective Studies; D017568:Rectus Abdominis / Q000637:transplantation*; D016037:Single-Blind Method