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2015 ; 4
(6
): 484-96
Nephropedia Template TP
gab.com Text
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English Wikipedia
Breast reconstruction following conservative mastectomies: predictors of
complications and outcomes
#MMPMID26645003
Voineskos SH
; Frank SG
; Cordeiro PG
Gland Surg
2015[Dec]; 4
(6
): 484-96
PMID26645003
show ga
Breast reconstruction can be performed using a variety of techniques, most
commonly categorized into an alloplastic approach or an autologous tissue method.
Both strategies have certain risk factors that influence reconstructive outcomes
and complication rates. In alloplastic breast reconstruction, surgical outcomes
and complication rates are negatively impacted by radiation, smoking, increased
body mass index (BMI), hypertension, and prior breast conserving therapy.
Surgical factors such as the type of implant material, undergoing immediate
breast reconstruction, and the use of fat grafting can improve patient
satisfaction and aesthetic outcomes. In autologous breast reconstruction,
radiation, increased BMI, certain previous abdominal surgery, smoking, and
delayed reconstruction are associated with higher complication rates. Though a
pedicled transverse rectus abdominis myocutaneous (TRAM) flap is the most common
type of flap used for autologous breast reconstruction, pedicled TRAMs are more
likely to be associated with fat necrosis than a free TRAM or deep inferior
epigastric perforator (DIEP) flap. Fat grafting can also be used to improve
aesthetic outcomes in autologous reconstruction. This article focuses on factors,
both patient and surgical, that are predictors of complications and outcomes in
breast reconstruction.