Document Detail


Patient body mass index and perforator quality in abdomen-based free-tissue transfer for breast reconstruction.
MedLine Citation:
PMID:  19085818     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Body mass index (BMI) must be considered when selecting patients suitable for abdomen-based microsurgical breast reconstruction. It is unknown whether BMI or age affects quality or quantity of abdominal wall perforating blood vessels. The purpose of this study was to identify differences in abdominal wall perforating blood vessels among patients with different BMI and age. A retrospective review was conducted of 66 patients undergoing abdomen-based microsurgical breast reconstruction tissue transfer from 2000 to 2006. Median age was 48.6 years (+/- 8.2). Patients were divided into BMI < 25 (28 patients), BMI 25 to 30 (26 patients), or BMI > 30 (12 patients). Perforator size and location was determined by ultrasound data. There was a greater number of perforators in horizontal zone II compared with the remaining zones (P < 0.05, Bonferroni corrected). There were no differences between age or BMI and the number of perforators or average perforator size per patient. A significant positive linear association was found between the average perforator diameter and total number of abdominal wall perforators. We concluded there is no anatomical difference in perforator quality among patients with varying BMIs <or= 35. Zone II remains the most likely region for quality perforators. Abdomen-based microsurgical breast reconstruction is reasonable and safe for women with a BMI < 35.
Authors:
Jeffrey R Scott; Stephen R Sullivan; Daniel Liu; Kari Keys; F Frank Isik; Hakim Said; David W Mathes
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Publication Detail:
Type:  Journal Article     Date:  2008-12-15
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  25     ISSN:  0743-684X     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-26     Completed Date:  2009-07-29     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  237-41     Citation Subset:  IM    
Affiliation:
Division of Plastic Surgery, University of Washington Medical Center, Seattle, Washington 98115, USA.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Wall / blood supply*,  surgery
Analysis of Variance
Body Mass Index*
Female
Humans
Linear Models
Mammaplasty / methods*
Microsurgery / methods*
Middle Aged
Patient Selection
Retrospective Studies
Surgical Flaps / blood supply*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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