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Status: Bibliographieeintrag

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Verfasst von:Heidekrüger, Paul [VerfasserIn]   i
 Fritschen, Uv. [VerfasserIn]   i
 Moellhoff, N. [VerfasserIn]   i
 Germann, Günter [VerfasserIn]   i
 Giunta, R. E. [VerfasserIn]   i
 Zeman, F. [VerfasserIn]   i
 Prantl, L. [VerfasserIn]   i
Titel:Impact of body mass index on free DIEP flap breast reconstruction
Titelzusatz:a multicenter cohort study
Verf.angabe:P.I. Heidekrueger, Uv. Fritschen, N. Moellhoff, G. Germann, R.E. Giunta, F. Zeman, L. Prantl
E-Jahr:2021
Jahr:16 January 2021
Umfang:7 S.
Fussnoten:Gesehen am 13.10.2021
Titel Quelle:Enthalten in: Journal of plastic, reconstructive & aesthetic surgery
Ort Quelle:Amsterdam [u.a.] : Elsevier, 2006
Jahr Quelle:2021
Band/Heft Quelle:74(2021), 8 vom: Aug., Seite 1718-1724
ISSN Quelle:1878-0539
Abstract:Introduction - Several patient-related factors have been identified with regard to the safety and efficacy of breast reconstructions. This study analyzed the largest series of microsurgical breast reconstructions in Germany using deep inferior epigastric perforator (DIEP) flaps, with a focus on the impact of patient body mass index (BMI). - Patients and methods - A total of 3911 female patients underwent 4561 free DIEP flap breast reconstructions across 22 different centers. The cases were divided into five groups using World Health Organization BMI criteria: underweight group (BMI <18.5kg/m2), normal weight/ control group (BMI: 18.5-24.9kg/m2), overweight group (BMI: 25-29.9kg/m2), moderately obese group (BMI: 30-34.9kg/m2), and severely obese group (BMI ≥ 35kg/m2). Surgical complications were accounted for and the five BMI groups were then compared. - Results - Overall, there was no significant difference regarding the rate of partial- and total flap loss between all BMI groups (p > 0.05). However, overweight and obese patients showed significantly higher rates of postoperative infections at the donor and recipient sites than the control group (donor site infections: overweight 0.6%; moderately obese 0.9%; severely obese 2.4% vs control 0.1%; all p<0.01; recipient site infections: overweight 0.5%; moderately obese 0.8%; severely obese 1.4% vs control 0.1%; all p < 0.05). The rate of medical complications also differed significantly between groups, with the highest rates in moderately and severely obese women (moderately obese: 8.4%; severely obese: 13.0% vs. control: 5.1%; p < 0.01). - Conclusion - Our findings suggest that successful free tissue transfer can be achieved even in an underweight and severely obese population with acceptable risk for complications.
DOI:doi:10.1016/j.bjps.2020.12.043
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.bjps.2020.12.043
 Volltext: https://www.sciencedirect.com/science/article/pii/S174868152030718X
 DOI: https://doi.org/10.1016/j.bjps.2020.12.043
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:BMI
 Body mass index
 Breast reconstruction
 DIEP flap
K10plus-PPN:1773573926
Verknüpfungen:→ Zeitschrift

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