4: Four-flap Breast Reconstruction: Assessing Breast-q And Donor Site Morbidity In Bilateral Stacked Autologous Breast Reconstruction
Dickey R., Garza R., Liu Y., Cho M., Teotia S., Haddock N.
Retrospective Study with a reported sample of 38, published in Plast Reconstr Surg Glob Open (2021) — summary generated from the PubMed abstract.
Early human evidence such as case series or small samples is exploring possible benefits.
- Level A · Stronger Clinical Evidence
- Level B · Emerging clinical evidence with positive signals
- Level C · Early human research exploring benefits
- Level D · Scientific groundwork from lab and animal studies
- Emerging · Emerging topic under active research
This page is generated from the PubMed record. The Thai description is an automated summary of bibliographic fields and the abstract, not a full translation, and is not medical advice.
- Study type
- Retrospective Study
- Journal
- Plast Reconstr Surg Glob Open (2021)
- Reported sample size
- 38
- Source database
- Europe PMC
- PMCID
- PMC8312810
Abstract (original English)
Purpose: Patients undergoing bilateral autologous breast reconstruction may benefit from increased flap volume using bilateral stacked deep inferior epigastric perforator (DIEP) and profunda artery perforator (PAP) flaps. Four-flap reconstruction patients are a unique population in which to compare donor site morbidity of the two most commonly used free flaps in breast reconstruction (DIEP and PAP). Our aim was to characterize the donor site morbidity and overall patient outcomes of four-flap breast reconstruction patients. Methods: Retrospective chart review was performed for all patients undergoing four-flap breast reconstruction by two surgeons between 2014-2019 at a single academic medical center. Inpatient surgical site pain location and pain scores by Numeric Pain Rating Scale (NPRS) were recorded during the immediate post-operative admission. All patients were contacted to complete the BREAST-Q reconstructive module and the Lower Extremity Functional Scale (LEFS). Four-flap BREAST-Q scores were compared to bilateral DIEP and to bilateral PAP patients as reference populations. Results: A total of 63 patients undergoing four-flap breast reconstruction were identified. BREAST-Q (n=38) scores demonstrated mean Satisfaction With Breasts of 66.1+/-32.2, Psychosocial Well-Being 70.8+/-34.3, Sexual Well-Being 44.5+/-36.5, Physical Well-Being Chest 72.8+/-32.5, and Physical Well-
What this study does not prove
- • This study does not prove SVF is an approved treatment or a replacement for standard care.
- • Without an adequate control group, treatment effects cannot be separated from other factors.
Evidence level
Early human evidence such as case series or small samples is exploring possible benefits.
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