Navigation Links
Weight of tissue flaps affects complication risk after breast reconstruction

Philadelphia, Pa. (May 29, 2013) For women undergoing breast reconstruction after mastectomy, the weight of the tissue flap used affects the risk of an important complication called fat necrosis, reports a study in Plastic and Reconstruction Surgery-Global Open, the official open-access medical journal of the American Society of Plastic Surgeons (ASPS).

Information on flap weightand the number of blood vessels supplying the flapcan help plastic and reconstructive surgeons optimize outcomes for women undergoing breast reconstruction after mastectomy for breast cancer, according to the study by ASPS Member Surgeon Dr. Justin M. Sacks and colleagues from the Department of Plastic and Reconstructive Surgery at the Johns Hopkins School of Medicine, Baltimore.

Flap Weight and Blood Supply Predict Fat Necrosis Risk

The researchers analyzed risk factors for fat necrosis in 123 women undergoing breast reconstruction after mastectomy for breast cancer. Fat necrosis refers to the death of fat cells in the reconstructed breast; it is caused by problems with blood supply to the transplanted flap.

The reconstructions were performed using the women's own tissuesspecifically, using flaps of tissue transferred from the abdominal area. In performing autologous reconstructions, plastic and reconstructive surgeons create custom-designed flaps of muscle, fat and skin from the abdominal area, along with their supplying blood vessels.

Dr. Sacks and coauthors evaluated surgical and patient-related factors affecting the risk of fat necrosis after reconstructionincluding the total weight of the abdominal tissue flap before it was transferred to the chest. The analysis included a total of 179 flaps (including 56 women undergoing reconstruction of both breasts).

Fat necrosis occurred in 7.5 percent of flaps overall. The risk was significantly higher for women with heavier tissue flaps: for each 100-gram increase in flap weight, the risk of fat necrosis increased by 50 percent. (The average flap weight was approximately 650 grams.)

Risk of fat necrosis was also affected by the number of supplying blood vessels, or "perforators"especially in heavier flaps. Among flaps larger than 1,000 grams, the rate of fat necrosis was about 43 percent in those with a single perforator, compared to 14 percent for those with two or more perforators.

Attention to Risk Factors May Improve Breast Reconstruction Outcomes

African American women were also at higher risk of fat necrosis after breast reconstruction, with a risk nearly 12 times higher than in Caucasian women. Risk was not significantly affected by patient age, body weight, and various medical and surgical factors.

Fat necrosis is an important complication after breast reconstruction. "Development of fat necrosis requiring reoperation can result in significant aesthetic deformity as well as emotional and financial costs," Dr. Sacks and coauthors note.

Plastic and reconstructive surgeons are constantly working to refine the technical aspects of breast reconstruction, including flap design, in order to provide the best possible surgical and aesthetic results. Although other studies have looked at risk factors for fat necrosis, the new study is the first to focus on the flap weight and its interaction with blood supply.

The results show that larger, heavier flaps are at higher risk of fat necrosis, particularly in flaps with just one perforating blood vessel. Dr. Sacks and colleague suggest that plastic and reconstructive surgeons should consider "balancing perforator number and increasing flap weight" in designing abdominal flaps for autologous breast reconstruction. They suggest to ensure adequate blood supply to flaps in African American women, who appear to be at higher risk of fat necrosis after breast reconstruction.


Contact: Connie Hughes
Wolters Kluwer Health

Related medicine news :

1. Denver Weight Loss Clinic Continues Expansion in Colorado with a New Medical Weight Loss Center with the Potential to Help Thousands Lose Weight
2. Womens Weight-Loss Surgery May Benefit Later Offspring
3. hCGTreatments / Diet Doc hCG Diets & Weight Loss Plans Announces New Diet Plans Promoting Fast Weight Loss, thus Aiding in More Restful, Uninterrupted & Satisfying Sleep
4. hCGTreatments / Diet Doc hCG Diets & Weight Loss Plans Now Offer New Guided Weight Loss Tips Now Found in New Study to Help Patients Lose Weight Fast
5. Scott Tischler of Tischler Brothers Fitness Unveils the secrets to weight loss this summer.
6. Phen375 - Weight Loss Diet Pills Company Announces Special Deal of Extra One Month Supply for Limited Time
7. Successful Dieter Starts Gold Coast With Revolutionary Weight Loss Supplement, Garcinia Cambogia
8. hCGTreatments / Diet Doc hCG Diets & Weight Loss Plans Now Offer Patients Their Best Weight Loss Through Education on Food’s Actual Calorie Content
9. hCGTreatments / Diet Doc hCG Diets & Weight Loss Plans Announces Improved hCG Diet Plans to Help Those of All Sizes Look & Feel Better In Beachwear By Losing Weight
10. Cherry Creek Medical Weight Loss Has Reached Their Goal
11. Garcinia Cambogia Select Best Weight Loss Supplement Company Offers 50% Discount Now Available at
Post Your Comments:
(Date:10/13/2015)... ... October 13, 2015 , ... Relay ... messaging application, announced today a significant contract that will provide its award-winning private ... to build on the growing success of its Relay program, IBX Wire™, which ...
(Date:10/13/2015)... ST. LOUIS and CHENNAI, India (PRWEB) , ... October 13, 2015 ... ... the development of advanced camera solutions, today announced See3CAM_CU40, the industry’s first ... stand-alone MIPI CSI-2 module. See3CAM_CU40, a new member of e-con’s See3CAM family of UVC ...
(Date:10/13/2015)... ... October 13, 2015 , ... A child without a healthy ... SmileCareClub , the leading remote invisible aligner system, has joined with Global Dental ... without it. For each aligner treatment plan purchased, SmileCareClub will donate one clinic visit ...
(Date:10/13/2015)... ... October 13, 2015 , ... Protein is essential to good health. ... bone, and blood. But how much protein does the average man need in order ... according to the October 2015 issue of Harvard Men's Health Watch . Most ...
(Date:10/13/2015)... ... October 13, 2015 , ... Nordic ... unique health needs of new moms. Postnatal Omega-3, which has been named ... utilizes Nordic Naturals’ exclusive, new, ultra-concentrated omega-3 oil. This breakthrough oil combines ...
Breaking Medicine News(10 mins):
(Date:10/13/2015)... YORK , Oct. 13, 2015 Pomerantz ... filed against Amicus Therapeutics, Inc. ("Amicus" or the "Company")(NASDAQ: ... filed in United States District Court, District of ... a class consisting of all persons or entities who ... 1, 2015 inclusive (the "Class Period"). This class action seeks ...
(Date:10/13/2015)... BOSTON , Oct. 13, 2015 ... lawsuits against GlaxoSmithKline (GSK) related to the pharmaceutical ... defects alleged to have been caused by their ... profile of this drug for pregnant women.   Due ... lawsuits against GSK, The United States Judicial Panel ...
(Date:10/13/2015)... Oct. 13, 2015 VIVA Physicians, a not-for-profit ... and intervention through education and research, is excited to ... 2015 . Sixteen trial results, featuring the latest in ... first time on Monday and Tuesday, November 2 and ... --> --> Since 2003, VIVA Physicians ...
Breaking Medicine Technology: