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March 15, 2026Plastic & Reconstructive Surgery

Categorizing Patient Selection, Outcomes, and Indications in 300 Lumbar Artery Perforator Flaps

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Authors

NHNicholas T. HaddockDHDominic HennLKLauren Kim

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Overview

Retrospective review highlights improved surgical outcomes in 300 lumbar artery perforator flaps, suggesting long-term benefits in patient-reported satisfaction and quality of life.

Key Points

  • This research aims to analyze patient selection, surgical outcomes, and patient-reported outcomes for lumbar artery perforator flaps.
  • Retrospective review of 300 LAP flap breast reconstructions from 2018 to 2025.
  • Patients categorized by reconstruction type: unilateral, bilateral, and stacked.
  • Analysis of complications, operative characteristics, and BREAST-Q outcomes.
  • Overall complication rates for non-stacked LAP flaps decreased from 30.2% in 2019 to 8.8% by 2024-2025.
  • BREAST-Q scores showed sustained improvements in satisfaction, psychosocial, and physical well-being.
  • Stacked LAP flaps had higher complication rates than standard LAP flaps, particularly in patients with elevated BMI and diabetes.

Cite This Study

Haddock et al. (2026) studied this question.

synapsesocial.com/papers/69b5ff5c83145bc643d1bc95https://doi.org/10.1097/prs.0000000000013030
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Superior Gluteal and Lumbar Artery Perforator Flaps in Autologous Breast Reconstruction: A Systematic Review and Meta‐Analysis2026
  2. 2Lumbar flap in breast reconstruction (literature review)2024
  3. 3Lumbar artery perforator free flaps for breast reconstruction2024 · 2 citations
  4. 4Donor Site Morbidity after Lumbar Artery Perforator Flap Breast Reconstruction2021 · 11 citations
  5. 5“DIEP Flap vs PAP Flap vs LAP Flap: A Propensity Matched Analysis of Aesthetic Outcomes, Complications, and Satisfaction”2024 · 7 citations