Postoperative complications after deep inferior epigastric perforator flap breast reconstruction and their impact on patient-reported outcomes
10.3760/cma.j.cn113855-20230829-00093
- VernacularTitle:腹壁下动脉穿支皮瓣乳房重建术后并发症对患者报告结局的影响
- Author:
Xuhui GUO
1
;
Xilong GONG
;
Hui XIAO
;
Yue YANG
;
Dechuang JIAO
;
Jiao ZHANG
;
Zhenzhen LIU
Author Information
1. 郑州大学附属肿瘤医院乳腺科 河南省肿瘤医院乳腺科 河南省乳腺癌诊疗中心，郑州 450008
- Keywords:
Breast neoplasms;
Abdominal flaps;
Postoperative complications;
Risk factors;
Patient-reported outcomes
- From:
Chinese Journal of General Surgery
2024;39(6):470-475
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the factors that influence the occurrence of complications following deep inferior epigastric perforator (DIEP) flap breast reconstruction, and to determine whether these complications have an impact on the patient's quality of life.Methods:The clinical and follow up data from patients who underwent DIEP flap breast reconstruction at the Department of Breast, Affiliated Cancer Hospital of Zhengzhou University from Dec 2019 to Mar 2023 were retrospectively analyzed.Results:A total of 85 patients underwent DIEP flap breast reconstruction, including 71 stage Ⅰ reconstructions and 14 stage Ⅱ reconstructions. Postoperative complications occurred in 22 cases 25.9%, including flap complications in 11 cases (12.9%) and abdominal donor site complications in 11 cases (12.9%). Univariate and multivariate analyses showed that the overall incidence of complications was associated with high BMI and early surgery ( P<0.05). Flap complications were associated with high BMI, surgery performed at initial phase, and the use of internal mammary vascular branches as recipient vessels ( P<0.05). Abdominal complications were associated with previous abdominal surgery scars ( P<0.05). BREAST-Q scores showed no significant differences between the surgical complication group and the no complication group in terms of breast satisfaction, mental health, physical health-chest, physical health-abdomen, satisfaction with abdomen, sexual health, etc. ( P>0.05). Conclusions:DIEP flap breast reconstruction has a significant learning curve. The patient's own clinical characteristics (such as BMI and abdominal incision scars) and intraoperative choices (such as the selection of recipient vessels) may influence the occurrence of postoperative complications. However, the presence of postoperative complications does not appear to have an impact on patient-reported outcomes.
