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Impact of Previous Abdominal Surgery on Postoperative Complication of Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Retrospective Comparative Study.


ABSTRACT:

Background

The deep inferior epigastric perforator (DIEP) flap is considered the gold standard for autologous breast reconstruction. Many patients have had previous abdominal surgery (PAS), which poses a challenge in flap harvesting and may impact both abdominal vascularity and structural integrity. This study aimed to clarify the impact of PAS on DIEP flap complications.

Methods

A monocentric retrospective analysis of patients undergoing DIEP flap breast reconstruction from February 2018 to May 2024 was conducted. Preoperative characteristics, operative notes, and postoperative complications were collected and analyzed.

Results

A total of 114 patients, representing 141 DIEP flap breast reconstructions, were included. The study group comprised 58 patients with PAS, wh

SUBMITTER: Zinner G 

PROVIDER: S-EPMC12637318 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature