Predictors affecting complications and aesthetic outcomes in autologous breast reconstruction with free muscle-sparing transverse rectus abdominis myocutaneous flaps
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Moon, Kyung-Chul | - |
dc.contributor.author | Baek, Si-Ook | - |
dc.contributor.author | Yoon, Eul-Sik | - |
dc.contributor.author | Lee, Byung-Il | - |
dc.contributor.author | Park, Seung-Ha | - |
dc.date.accessioned | 2021-08-31T15:17:59Z | - |
dc.date.available | 2021-08-31T15:17:59Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2020-01 | - |
dc.identifier.issn | 0738-1085 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/58589 | - |
dc.description.abstract | Background Identification and understanding of predictors for complications and aesthetic outcomes in free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flap are essential for successful breast reconstruction. The purpose of this study was to investigate predictors for complications and aesthetic outcomes in patients who underwent autologous breast reconstruction with free MS-TRAM flaps. Patients and Methods Between March 2003 and September 2017, a total of 214 patients who underwent breast reconstruction with MS-TRAM flaps were included in this study. Mean age of the patients was 43.2 years (range, 28-61 years). Four outcome data, including operation time, hospital stay, aesthetic scores, and complications; and 12 patient data, including recipient vessel type, age, body mass index [BMI] > 25, smoking status, neoadjuvant chemotherapy, radiotherapy, nipple-sparing mastectomy, contralateral breast surgery, history of hypertension, diabetes mellitus, cardiac disease, and endocrine disease were collected. Results Five and 52 patients experienced major complications, including partial flap loss, and minor complications, respectively. In stepwise multiple logistic analysis, risk factors for complications were BMI > 25 (P < 0.001), smoking status (P = 0.012), and neoadjuvant radiotherapy (P = 0.002). BMI > 25 (P < 0.001), smoking status (P < 0.001), contralateral breast surgery (P < 0.001), and history of cardiac (P = 0.001) and endocrine disease (P = 0.003) were predictors for aesthetic outcome. Conclusion Predictors for complications and aesthetic outcomes determined in this study may facilitate microsurgeons engaged in the assessment of patients needing free MS-TRAM flaps. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | WILEY | - |
dc.subject | INFERIOR EPIGASTRIC PERFORATOR | - |
dc.subject | RISK-FACTORS | - |
dc.subject | SMOKING | - |
dc.subject | TRENDS | - |
dc.subject | IMPACT | - |
dc.title | Predictors affecting complications and aesthetic outcomes in autologous breast reconstruction with free muscle-sparing transverse rectus abdominis myocutaneous flaps | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Yoon, Eul-Sik | - |
dc.contributor.affiliatedAuthor | Park, Seung-Ha | - |
dc.identifier.doi | 10.1002/micr.30442 | - |
dc.identifier.scopusid | 2-s2.0-85061971027 | - |
dc.identifier.wosid | 000506552600006 | - |
dc.identifier.bibliographicCitation | MICROSURGERY, v.40, no.1, pp.38 - 43 | - |
dc.relation.isPartOf | MICROSURGERY | - |
dc.citation.title | MICROSURGERY | - |
dc.citation.volume | 40 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 38 | - |
dc.citation.endPage | 43 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | INFERIOR EPIGASTRIC PERFORATOR | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | SMOKING | - |
dc.subject.keywordPlus | TRENDS | - |
dc.subject.keywordPlus | IMPACT | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.