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- W3157486566 abstract "Background: Although obesity is known to increase operative complications, no study has stratified this risk by level of obesity in patients seeking deep inferior epigastric perforator (DIEP) flap breast reconstruction. Methods: The authors conducted a retrospective review composed of all DIEP flap breast reconstructions performed on patients with a body mass index above 30 kg/m2 at our institution between 1993 and 2014. Reconstructions were stratified into the three classes of obesity established by the WHO: class I (BMI 30.0-34.9); class II (BMI 35.0-39.9); and class III (BMI 40.0+). Obesity was the primary predictor variable. Secondary predictor variables were demographic and comorbidity data. Primary outcomes were complete and partial flap loss. Secondary outcomes such as hematoma were also assessed for the flap and abdominal donor area. Results: There were 174 flaps in class I, 69 in class II, and 63 in class III. The incidence of tobacco use, diabetes, and pre-operative radiation had significant differences between the groups. Univariate analysis showed no significant differences in primary or secondary outcome variables between the groups. Logistic regression demonstrated that degree of obesity is an independent risk factor for flap (OR 1.71; p = 0.03) and abdominal donor site complications (OR 2.40; p = 0.03). Conclusions: Class III obesity patients have significantly elevated risk when undergoing DIEP flap breast reconstructions relative to patients with class I or II obesity. It is advisable to approach these cases with additional caution and perhaps even delay major reconstruction until after specific BMI goals have been met." @default.
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- W3157486566 date "2020-07-01" @default.
- W3157486566 modified "2023-10-14" @default.
- W3157486566 title "DIEP Breast Reconstruction in the Obese Population: Assessing the Complication Risk of Your Patient" @default.
- W3157486566 doi "https://doi.org/10.1097/01.gox.0000696004.21479.d9" @default.
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