Weight analysis of mastectomy specimens and abdominal flaps used for breast reconstruction in Koreans.
- Author:
Jiyoung YUN
1
;
Hyung Hwa JEONG
;
Jonghan CHO
;
Eun Key KIM
;
Jin Sup EOM
;
Hyun Ho HAN
Author Information
- Publication Type:Original Article
- Keywords: Mastectomy; Mammoplasty; Free tissue flaps; Korea; Body mass index
- MeSH: Body Mass Index; Breast*; Female; Free Tissue Flaps; Humans; Korea; Mammaplasty*; Mastectomy*; Retrospective Studies; Weights and Measures
- From:Archives of Plastic Surgery 2018;45(3):246-252
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: Slim patients or those with large breasts may be ineligible for breast reconstruction with an abdominal flap, as the volume of the flap may be insufficient. This study aimed to establish that abdominal tissue–based breast reconstruction can be well suited for Korean patients, despite their thin body habitus. METHODS: A total of 252 patients who underwent postmastectomy breast reconstruction with an abdominal flap from October 2006 to May 2013 were retrospectively reviewed. The patients' age and body mass index were analyzed, and a correlation analysis was performed between the weight of the mastectomy specimen and that of the initial abdominal flap. RESULTS: The average weights of the mastectomy specimen and initial abdominal flap were 451.03 g and 644.95 g, respectively. The ratio of the weight of the mastectomy specimen to that of the initial flap was 0.71±0.23. There was a strong positive linear relationship between the weight of the mastectomy specimen and that of the initial flap (Pearson correlation coefficient, 0.728). Thirty nulliparous patients had a final-to-initial flap weight ratio of 0.66±0.11. The 25 patients who underwent a contralateral procedure had a ratio of 0.96±0.30. The adjusted ratio of the final flap weight to the initial flap weight was 0.66±0.12. CONCLUSIONS: Breast weight had a strong positive relationship with abdominal flap weight in Koreans. Abdominal flaps provided sufficient soft tissue for breast reconstruction in most Korean patients, including nulliparous patients. However, when the mastectomy weight is estimated to be >700 g, a contralateral reduction procedure may be considered.
