The Impact of Technical Innovations and Donor-Site Mesh Repair on Autologous Abdominal-Based Breast Reconstruction—A Retrospective Analysis

Promny T, Huberth P, Müller-Seubert W, Promny D, Cai A, Horch RE, Arkudas A (2024)

Publication Type: Journal article

Publication year: 2024

Journal

Journal of Clinical Medicine MDPI

Book Volume: 13

Article Number: 2165

Journal Issue: 8

DOI: 10.3390/jcm13082165

Abstract

Background: The aim of this study was to examine the potential benefit that may be achieved through the introduction of technical innovations and the incorporation of mesh for fascial donor site closure in uni- and bilateral autologous breast reconstruction with abdominal tissue. Methods: A retrospective single-center review of all breast reconstructions with a DIEP or MS-TRAM flap between January 2004 and December 2019 was performed. Donor and recipient site complications and operation times were evaluated before and after the implementation of coupler anastomoses, preoperative computed tomography angiography (CTA), indocyanine green (ICG) angiography, and the inclusion of mesh in donor site repair. Results: A total of 396 patients were included, accounting for 447 flaps. Operation time was significantly shorter in unilateral reconstructions after the implementation of CTA (p < 0.0001). ICG angiography significantly reduced the rates of partial flap loss (p = 0.02) and wound healing disorders (p = 0.02). For unilateral reconstructions, abdominal bulging or hernia was observed more often in MS1-TRAM flaps without synthetic mesh repair (p = 0.001), whereas conservatively treated seroma developed more frequently after mesh implantation (p = 0.03). Conclusions: Recent technological advancements developed over the past few decades have made a substantial impact on decreasing surgical duration and enhancing procedure safety.

Authors with CRIS profile

Theresa Promny Department of Plastic and Hand Surgery Paula Huberth Department of Plastic and Hand Surgery Wibke Müller-Seubert Department of Plastic and Hand Surgery Dominik Promny Department of Plastic and Hand Surgery Aijia Cai Department of Plastic and Hand Surgery Raymund Horch Professur für Plastische Chirurgie und Handchirurgie Andreas Arkudas Medizinische Fakultät

How to cite

APA:

Promny, T., Huberth, P., Müller-Seubert, W., Promny, D., Cai, A., Horch, R.E., & Arkudas, A. (2024). The Impact of Technical Innovations and Donor-Site Mesh Repair on Autologous Abdominal-Based Breast Reconstruction—A Retrospective Analysis. Journal of Clinical Medicine, 13(8). https://doi.org/10.3390/jcm13082165

MLA:

Promny, Theresa, et al. "The Impact of Technical Innovations and Donor-Site Mesh Repair on Autologous Abdominal-Based Breast Reconstruction—A Retrospective Analysis." Journal of Clinical Medicine 13.8 (2024).

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