Estimation of Hemi-Abdominal-Based Free Flap Weight Using Two Computed Tomography-Derived Measurements.


Journal

Journal of reconstructive microsurgery
ISSN: 1098-8947
Titre abrégé: J Reconstr Microsurg
Pays: United States
ID NLM: 8502670

Informations de publication

Date de publication:
Sep 2022
Historique:
pubmed: 26 11 2021
medline: 16 9 2022
entrez: 25 11 2021
Statut: ppublish

Résumé

 Accurate flap weight estimation is crucial for preoperative planning in microsurgical breast reconstruction; however, current flap weight estimation methods are time consuming. It was our objective to develop a parsimonious and accurate formula for the estimation of abdominal-based free flap weight.  Patients who underwent hemi-abdominal-based free tissue transfer for breast reconstruction at a single institution were retrospectively reviewed. Subcutaneous tissue thicknesses were measured on axial computed tomography angiograms at several predetermined points. Multivariable linear regression was used to generate the parsimonious flap weight estimation model. Split-sample validation was used to for internal validation.  A total of 132 patients (196 flaps) were analyzed, with a mean body mass index of 31.2 ± 4.0 kg/m  We developed and internally validated a simple and accurate formula for the preoperative estimation of hemi-abdominal-based free flap weight for breast reconstruction.

Sections du résumé

BACKGROUND BACKGROUND
 Accurate flap weight estimation is crucial for preoperative planning in microsurgical breast reconstruction; however, current flap weight estimation methods are time consuming. It was our objective to develop a parsimonious and accurate formula for the estimation of abdominal-based free flap weight.
METHODS METHODS
 Patients who underwent hemi-abdominal-based free tissue transfer for breast reconstruction at a single institution were retrospectively reviewed. Subcutaneous tissue thicknesses were measured on axial computed tomography angiograms at several predetermined points. Multivariable linear regression was used to generate the parsimonious flap weight estimation model. Split-sample validation was used to for internal validation.
RESULTS RESULTS
 A total of 132 patients (196 flaps) were analyzed, with a mean body mass index of 31.2 ± 4.0 kg/m
CONCLUSION CONCLUSIONS
 We developed and internally validated a simple and accurate formula for the preoperative estimation of hemi-abdominal-based free flap weight for breast reconstruction.

Identifiants

pubmed: 34820798
doi: 10.1055/s-0041-1740133
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

549-554

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

None declared by all authors.

Auteurs

Nicolas Greige (N)

Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine; Bronx, New York.

Bryce Liu (B)

Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine; Bronx, New York.

David Nash (D)

Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine; Bronx, New York.

Katie E Weichman (KE)

Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine; Bronx, New York.

Joseph A Ricci (JA)

Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine; Bronx, New York.

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Classifications MeSH