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Smoking increases donor site complications in breast reconstruction with DIEP flap

Klasson, Stina LU ; Nyman, Johan; Svensson, Henry LU and Velander, Patrik LU (2016) In Journal of Plastic Surgery and Hand Surgery 50(6). p.331-335
Abstract

Objective: Reconstruction with deep inferior epigastric perforator flap (DIEP) is considered to be the first choice for autologous breast reconstruction. The primary aims of this retrospective study were to find out if differences in smoking habits and BMI are useful predictors for postoperative complications in DIEP surgery. Methods: Three hundred and one patients were included. Data regarding smoking habits, BMI, age at surgery, total and final flap weight, abdominal scars, parity, number of perforators, chemotherapy, post mastectomy radiation therapy, and preoperative mapping of perforators with either Computer Tomography Angiography or hand-held ultra sound Doppler were collected. Complications that occurred in the first 30... (More)

Objective: Reconstruction with deep inferior epigastric perforator flap (DIEP) is considered to be the first choice for autologous breast reconstruction. The primary aims of this retrospective study were to find out if differences in smoking habits and BMI are useful predictors for postoperative complications in DIEP surgery. Methods: Three hundred and one patients were included. Data regarding smoking habits, BMI, age at surgery, total and final flap weight, abdominal scars, parity, number of perforators, chemotherapy, post mastectomy radiation therapy, and preoperative mapping of perforators with either Computer Tomography Angiography or hand-held ultra sound Doppler were collected. Complications that occurred in the first 30 postoperative days were taken into account. Results and conclusions: It was found that former smokers had a risk for donor site complication more than double that of never smokers (OR =2.12, CI =1.10–4.10, p = 0.025). Differences in BMI within the range from 18–33.7 did not have any significant impact on complication rates, neither at the donor site nor at the breast.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Breast reconstruction, complication, DIEP, smoking
in
Journal of Plastic Surgery and Hand Surgery
volume
50
issue
6
pages
331 - 335
publisher
Taylor & Francis
external identifiers
  • Scopus:84964691916
ISSN
2000-656X
DOI
10.1080/2000656X.2016.1175357
language
English
LU publication?
yes
id
3fd4e0b5-0299-4018-b291-2324ed94eb64
date added to LUP
2016-06-01 15:11:13
date last changed
2017-01-17 15:31:14
@article{3fd4e0b5-0299-4018-b291-2324ed94eb64,
  abstract     = {<p>Objective: Reconstruction with deep inferior epigastric perforator flap (DIEP) is considered to be the first choice for autologous breast reconstruction. The primary aims of this retrospective study were to find out if differences in smoking habits and BMI are useful predictors for postoperative complications in DIEP surgery. Methods: Three hundred and one patients were included. Data regarding smoking habits, BMI, age at surgery, total and final flap weight, abdominal scars, parity, number of perforators, chemotherapy, post mastectomy radiation therapy, and preoperative mapping of perforators with either Computer Tomography Angiography or hand-held ultra sound Doppler were collected. Complications that occurred in the first 30 postoperative days were taken into account. Results and conclusions: It was found that former smokers had a risk for donor site complication more than double that of never smokers (OR =2.12, CI =1.10–4.10, p = 0.025). Differences in BMI within the range from 18–33.7 did not have any significant impact on complication rates, neither at the donor site nor at the breast.</p>},
  author       = {Klasson, Stina and Nyman, Johan and Svensson, Henry and Velander, Patrik},
  issn         = {2000-656X},
  keyword      = {Breast reconstruction,complication,DIEP,smoking},
  language     = {eng},
  number       = {6},
  pages        = {331--335},
  publisher    = {Taylor & Francis},
  series       = {Journal of Plastic Surgery and Hand Surgery},
  title        = {Smoking increases donor site complications in breast reconstruction with DIEP flap},
  url          = {http://dx.doi.org/10.1080/2000656X.2016.1175357},
  volume       = {50},
  year         = {2016},
}