Factors that predict deep inferior epigastric perforator flap donor site hernia and bulge
| Autor: | Dimitris Reissis, Navid Jallali, Daniel P. Butler, Francis P. Henry, Judith E Hunter, Agata M Plonczak, Simon H. Wood |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Mammaplasty 030230 surgery Transplant Donor Site Body Mass Index 03 medical and health sciences 0302 clinical medicine Postoperative Complications DIEP flap Risk Factors Medicine Humans Hernia Aged business.industry Deep Inferior Epigastric Artery Gold standard Middle Aged medicine.disease Epigastric Arteries eye diseases Surgery Fasciotomy Hernia Abdominal 030220 oncology & carcinogenesis Female business Breast reconstruction Perforator Flap |
| Zdroj: | Journal of plastic surgery and hand surgery. 52(6) |
| ISSN: | 2000-6764 |
| Popis: | Deep inferior epigastric artery perforator (DIEP) flap has become the gold standard in autologous breast reconstruction. Attention is now being focused on the impact of DIEP flap harvest technique on abdominal hernia rates. The aim of this study was to evaluate DIEP abdominal wall morbidity in relation to flap harvest and fascial closure technique. A retrospective analysis of patients undergoing DIEP flap breast reconstruction between 2012 and 2016 was performed. Post-operative evaluation of the abdominal wall integrity was performed by an operating consultant. The rectus fascia was closed using one of three techniques. The study included 202 patients, in whom 234 DIEP flaps were performed. Eight patients (3.4%) developed a clinically evident abdominal bulge post-operatively and one (0.5%) had a hernia. Harvesting two or more perforators was more likely to result in post-operative abdominal hernia/bulge than taking a single perforator ( |
| Databáze: | OpenAIRE |
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