Abstract

HERNANDEZ-GODOY, J. et al. Secondary surgery related factors in autologous breast reconstruction using abdominal free tissue. Cir. plást. iberolatinoam. [online]. 2015, vol.41, n.4, pp.393-397. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922015000400006.

Breast reconstruction using abdominal free flaps has become the therapeutic choice at our center when a lot of tissue is needed, The completion of this reconstructive technique requires a variable number of ancillary procedures. Patients who underwent breast reconstruction with abdominal free flap at our center between January 2010 and December 2013 were reviewed. The inclusion criterion was completion to nipple reconstruction. The patients were stratified attending to microsurgical reconstruction related factors and adjuvant radiotherapy. Number and sort of procedures and surgeries, and total elapsed time to complete the reconstruction were analyzed. Sixty-eight patients underwent reconstruction using abdominal free flap; 31 (45.6%) completed breast reconstruction. The average of procedures, surgical steps and elapsed time was 3.2, 2.4 and 15.5 months respectively. Surgical time and bilateral procedures, treatment with radiotherapy and early flap complications were not related to statistically significant differences in secondary surgery rates. Abdominal free flaps often need secondary surgeries to improve the result and finish the reconstruction. We remark the necessity of planning the reconstruction since first surgical time to diminish the secondary surgeries and the elapsed time until completion of breast reconstruction.

Keywords : Breast reconstruction; Abdominal free flap; Secondary surgery.

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