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lüll Autogenous tissue reconstruction in the mastectomy patient A critical review of 300 patients Hartrampf CR Jr; Bennett GKAnn Surg 1987[May]; 205 (5): 508-19The transverse abdominal island flap operation was the method of breast reconstruction after mastectomy and in chest wall reconstruction in 300 patients from September 1980 to July 1986. In 58% (221 of 383 breast reconstructions), the breast mound was formed in a single operation and required no further revision. Only 18 reconstructed breasts required modification after 1 year. Symmetry was achieved without altering the opposite breast in 113 (52% of the 217 unilateral reconstructions). Complications included one total flap loss (0.3%) and 18 partial flap losses (6%). There was one lower abdominal hernia (0.3%) and two small defects in the upper anterior rectus sheath (0.8%). Lower abdominal wall laxity occurred in two patients (0.8%), one requiring repair. As expected, there was some loss of abdominal wall strength after reconstruction but this did not affect sports or work performance in over 90% of patients. Ninety-eight per cent of respondents (272 or 278) judged the operation worth their time and effort. This major operative procedure is indicated only in healthy patients.|*Surgical Flaps[MESH]|Abdominal Muscles/surgery[MESH]|Adolescent[MESH]|Adult[MESH]|Aged[MESH]|Breast/*surgery[MESH]|Consumer Behavior[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Mastectomy[MESH]|Middle Aged[MESH]|Postoperative Complications[MESH]|Reoperation[MESH]|Surveys and Questionnaires[MESH]|Thoracic Surgery[MESH] |