The aim of this study was to investigate clinical and aesthetic results of simultaneous contralateral balancing procedures in unilateral DIEP flap reconstructions by means of a symmetrization algorithm. Between 2004 and 2013, 335 patients underwent DIEP flap breast reconstruction with 48 patients (mean age 51.8 years, range 32-69 years) undergoing contralateral procedure. Patients were divided in Group-A including 31 cases who underwent one-stage procedure and Group-B including 17 cases who underwent staged procedure. A symmetrization algorithm was proposed to plan immediate breast reduction/mastopexy. The groups were homogeneous regarding patient's age, BMI, mastectomy and flap weight (P > 0.05). All flaps survived. No complications were observed to the mastectomy skin flaps and to the reduction mammaplasty/mastopexy procedures in both groups. The mean operation time was 5 h in Group-A while 5 h and 37 min in Group-B (P = 0.0682). Contralateral procedures included 23 breast reductions

One-stage DIEP flap reconstruction. algorithm for immediate contralateral breast symmetrization / Laporta, Rosaria; Longo, Benedetto; Sorotos, Michail; Pagnoni, Marco; SANTANELLI DI POMPEO, Fabio. - In: MICROSURGERY. - ISSN 0738-1085. - STAMPA. - 36:1(2016), pp. 7-19. [10.1002/micr.22390]

One-stage DIEP flap reconstruction. algorithm for immediate contralateral breast symmetrization

LAPORTA, ROSARIA;LONGO, Benedetto;SOROTOS, MICHAIL;PAGNONI, MARCO;SANTANELLI DI POMPEO, Fabio
2016

Abstract

The aim of this study was to investigate clinical and aesthetic results of simultaneous contralateral balancing procedures in unilateral DIEP flap reconstructions by means of a symmetrization algorithm. Between 2004 and 2013, 335 patients underwent DIEP flap breast reconstruction with 48 patients (mean age 51.8 years, range 32-69 years) undergoing contralateral procedure. Patients were divided in Group-A including 31 cases who underwent one-stage procedure and Group-B including 17 cases who underwent staged procedure. A symmetrization algorithm was proposed to plan immediate breast reduction/mastopexy. The groups were homogeneous regarding patient's age, BMI, mastectomy and flap weight (P > 0.05). All flaps survived. No complications were observed to the mastectomy skin flaps and to the reduction mammaplasty/mastopexy procedures in both groups. The mean operation time was 5 h in Group-A while 5 h and 37 min in Group-B (P = 0.0682). Contralateral procedures included 23 breast reductions
2016
breast reconstruction; diep flap
01 Pubblicazione su rivista::01a Articolo in rivista
One-stage DIEP flap reconstruction. algorithm for immediate contralateral breast symmetrization / Laporta, Rosaria; Longo, Benedetto; Sorotos, Michail; Pagnoni, Marco; SANTANELLI DI POMPEO, Fabio. - In: MICROSURGERY. - ISSN 0738-1085. - STAMPA. - 36:1(2016), pp. 7-19. [10.1002/micr.22390]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/625598
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