Satisfaction and complications of free deep inferior epigastric perforator flap for breast reconstruction
10.3760/cma.j.issn.1671-0290.2016.03.010
- VernacularTitle:腹壁下动脉穿支皮瓣乳房重建的满意度及并发症
- Author:
Jing LIU
;
Xuehui ZHANG
;
Jingyan SUN
;
Shanshan HE
;
Yan WANG
;
Yan DONG
;
Jian YIN
- Publication Type:Journal Article
- Keywords:
Deep inferior epigastric perforator flap;
Breast reconstruction;
Complication;
General satisfaction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2016;22(3):160-164
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate satisfaction and complications of deep inferior epigastric perforator (DIEP) flaps breast reconstruction afer mastectomy in breast cancer patients.Methods The 26 consecutive breast cancer patients who underwent DIEP flap breast reconstruction were collected.General patient satisfaction and esthetic satisfaction with DIEP flap breast reconstruction were accessed using a study-specific questionnaire modified from the Michigan Breast Reconstruction Outcome Study.Results Flap success rate was 100％.The general satisfaction of DIEP breast reconstruction was 61.9％ (13/21),and the esthetic satisfaction was 66.7％ (14/21).Age (≤40 years old was 81.8％ [9/11],＞40 years old was 40.0％ [4/10],P=0.049) and previous abdominal wall surgery (no previous abdominal wall surgery was 75.0％ [12/16] and previous abdominal wall surgery was 20.0％ [1/5],P=0.027) were significant negative factors affecting general satisfaction;Body mass index (BMI ＜25 kg/m2 was 76.5％ [11/17],BMI 25-30 kg/m2 was 50.0％ [2/4],P=0.049) was a statistically significant factor associated with esthetic satisfaction.Four flaps presented venous congestion.One patient had fat necrosis and one had flap infection of the reconstructed breast.One patient had a decrease in abdominal rotational strength.Conclusions DIEP flap breast reconstruction will offer distinct advantages to patients,in terms of decreased donor-site morbidity and shorter recovery periods.
