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August 23, 2021Journal of Reconstructive Microsurgery

Donor Site Morbidity after Lumbar Artery Perforator Flap Breast Reconstruction

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Authors

DODries OpsomerTVTom VynckeMRMichelle Ryx

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Overview

Retrospective study reveals manageable donor site morbidity and high satisfaction after lumbar flap reconstruction, indicating its viability for selected patients.

Key Points

  • To evaluate donor site complications, secondary revision rates, and patient-reported outcomes following lumbar artery perforator flap breast reconstruction.
  • Retrospective review of all lumbar flap breast reconstructions performed between 2010 and 2019 (154 flaps in 110 patients).
  • Patient-reported satisfaction and physical wellbeing were assessed postoperatively using the BREAST-Q survey (n=63 respondents).
  • Common donor site complications included seroma in 35.1%, wound dehiscence in 8.4%, and hematoma in 3.2% of flaps, with body mass index identified as the only significant risk factor.
  • Secondary revisions included donor scar correction in 31.8%, contralateral flank liposuction in 18.3%, and donor flank lipofilling in 5.2% of patients.
  • Satisfaction with donor appearance was significantly lower for primary compared to secondary and tertiary reconstructions, though 97% of patients would recommend the procedure.

Cite This Study

Opsomer et al. (2021) studied this question.

synapsesocial.com/papers/6a7fbc2bdbb28b4b4918f27dhttps://doi.org/10.1055/s-0041-1731671
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Stacked Profunda Artery Perforator Flaps for Unilateral Breast Reconstruction: A Case Report2013 · 39 citations
  2. 2Predicting perforator location on preoperative imaging for the profunda artery perforator flap2012 · 105 citations
  3. 3TRANSPERITONEAL PREPERITONEAL LAPAROSCOPIC LUMBAR INCISIONAL HERNIORRHAPHY2001 · 48 citations