Microsurgical Breast Reconstruction can be Performed Safely in Patients with Obesity.


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:
30 May 2024
Historique:
medline: 31 5 2024
pubmed: 31 5 2024
entrez: 30 5 2024
Statut: aheadofprint

Résumé

 Numerous studies have shown that obesity is a risk factor for postoperative complications following breast reconstruction. Hence, obesity has traditionally been considered a relative contraindication to microsurgical breast reconstruction. In this study, we investigated the impact of obesity on outcomes following microsurgical breast reconstruction.  A retrospective analysis of 200 consecutive patients who underwent microsurgical breast reconstruction with free abdominal flaps was performed. Subjects were divided into Nonobese (body mass index [BMI] < 30 kg/m  Of the 200 subjects included in the study, 128 were Nonobese, 72 were Obese. The prevalence of diabetes (3.9 vs. 16.9%,  The improvements in clinical and patient-reported outcomes that have been associated with postmastectomy breast reconstruction do not exclude obese women. This study indicates that microsurgical breast reconstruction can be performed safely and efficiently in patients with obesity.

Sections du résumé

BACKGROUND BACKGROUND
 Numerous studies have shown that obesity is a risk factor for postoperative complications following breast reconstruction. Hence, obesity has traditionally been considered a relative contraindication to microsurgical breast reconstruction. In this study, we investigated the impact of obesity on outcomes following microsurgical breast reconstruction.
METHODS METHODS
 A retrospective analysis of 200 consecutive patients who underwent microsurgical breast reconstruction with free abdominal flaps was performed. Subjects were divided into Nonobese (body mass index [BMI] < 30 kg/m
RESULTS RESULTS
 Of the 200 subjects included in the study, 128 were Nonobese, 72 were Obese. The prevalence of diabetes (3.9 vs. 16.9%,
CONCLUSION CONCLUSIONS
 The improvements in clinical and patient-reported outcomes that have been associated with postmastectomy breast reconstruction do not exclude obese women. This study indicates that microsurgical breast reconstruction can be performed safely and efficiently in patients with obesity.

Identifiants

pubmed: 38815573
doi: 10.1055/s-0044-1787266
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

A.M. is a consultant for AxoGen, Gore, RTI, and Sientra. The remaining authors have no conflict of interest to disclose.

Auteurs

Max L Silverstein (ML)

Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Palo Alto, California.

Sarah Sorice-Virk (S)

Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Palo Alto, California.

Derrick C Wan (DC)

Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Palo Alto, California.

Arash Momeni (A)

Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Palo Alto, California.

Classifications MeSH