<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922025000200139</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922025000200005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis retrospectivo de los factores de riesgo relacionados con la aparición de complicaciones postoperatorias en los colgajos DIEP]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factor analysis for postoperative complications in DIEP flaps. Retrospective single center study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nistor]]></surname>
<given-names><![CDATA[Mirela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernal]]></surname>
<given-names><![CDATA[Roberto Carbonell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casorrán]]></surname>
<given-names><![CDATA[Alba Sobrino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco]]></surname>
<given-names><![CDATA[Manel Alós]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[Álvaro Bernal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Cirugía Plástica, Estética y Reparadora  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Facultativo Especialista Anestesiología y Reanimación  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Estética y Reparadora. Hospital Universitario Miguel Servet. Zaragoza Facultativo Especialista Cirugía Plástica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>51</volume>
<numero>2</numero>
<fpage>139</fpage>
<lpage>146</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922025000200139&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922025000200139&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922025000200139&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. El colgajo DIEP (perforantes de la arteria epigástrica inferior profunda) es actualmente la técnica reconstructiva autóloga más empleada para reconstrucción mamaria tras mastectomía, debido principalmente a sus buenos resultados y seguridad. El objetivo de nuestro estudio retrospectivo es identificar los posibles factores de riesgo asociados a la aparición de complicaciones postoperatorias en este tipo de colgajos.  Material y método. Estudio observacional, analítico y retrospectivo sobre pacientes intervenidas de reconstrucción mamaria mediante colgajo DIEP en el Servicio de Cirugía Plástica del Hospital Miguel Servet de Zaragoza (España) en un periodo de 5 años. Para cada paciente se recogieron datos generales y relacionados con el postoperatorio inmediato. Se analizaron posteriormente las posibles asociaciones entre comorbilidades más prevalentes, tratamientos oncológicos previamente administrados y complicaciones postoperatorias.  Resultados. La muestra fue de 100 colgajos DIEP, la mayor parte de las cirugías fueron reconstrucciones diferidas (87%). En el postoperatorio, 34 colgajos presentaron alguna complicación, y 61% necesitaron reintervención. Se registraron 8 pérdidas totales de colgajos. De todas las comorbilidades estudiadas, solo el sobrepeso se asoció de manera significativa con el aumento de complicaciones postoperatorias, sobre todo con la congestión venosa. La radioterapia sobre la zona receptora antes de la cirugía DIEP se asoció también de manera significativa con la aparición de insuficiencia venosa en el postoperatorio.  Conclusiones. En nuestra serie, el sobrepeso y los antecedentes de radioterapia previa fueron factores de riesgo asociados a la aparición de complicaciones postoperatorias en reconstrucción mamaria con colgajo DIEP. Estos hallazgos refuerzan la importancia de una planificación prequirúrgica meticulosa en este grupo de pacientes. Nivel de evidencia científica 4b Pronóstico]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. The DIEP (deep inferior epigastric perforator) flap is considered the gold standard technique for breast reconstructions after total mastectomy due to its excellent qualities and its safety. The aim of this retrospective study was to identify any potential risk factors associated with postoperative complications in this type of flaps.  Methods. An observational, retrospective study was conducted in patients who underwent DIEP reconstruction performed in a 5 year period by the Plastic Surgery Team from the Miguel Servet Hospital in Zaragoza, Spain. For each patient, general data and also data related to the postoperative period were collected. Associations between patient comorbidities, oncological treatments and postoperative complications were analyzed.  Results. One hundred DIEP flaps were included in the study, most of which were delayed reconstructions (87%). Complications were seen in 34 flaps and reoperations were performed in 61% of them. We registered 8 total flap loss. Regarding the analyzed comorbidities, only overweight was associated with a significant higher prevalence of postoperative complications, especially venous congestion. Another statistically significant association was found between the use of radiotherapy on the recipient site and venous insufficiency of the flap.  Conclusions. In our series, overweight and a history of prior radiotherapy were identified as risk factors for postoperative complications in DIEP flap breast reconstruction. These findings highlight the importance of rigorous preoperative planning in this group of patients Level of evidence 4b Pronostic]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Breast reconstruction]]></kwd>
<kwd lng="en"><![CDATA[Free flap]]></kwd>
<kwd lng="en"><![CDATA[DIEP flap]]></kwd>
<kwd lng="en"><![CDATA[Postoperative complications]]></kwd>
<kwd lng="en"><![CDATA[Comorbilities.]]></kwd>
<kwd lng="es"><![CDATA[Reconstrucción mamaria]]></kwd>
<kwd lng="es"><![CDATA[Colgajo libre]]></kwd>
<kwd lng="es"><![CDATA[Colgajo DIEP]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones postoperatorias]]></kwd>
<kwd lng="es"><![CDATA[Comorbilidades.]]></kwd>
</kwd-group>
</article-meta>
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