Title

Microsurgical Breast Reconstruction in Thin Patients: The Impact of Low Body Mass Indices

Publication Date

2015

Journal Title

Journal of Reconstructive Microsurgery

Abstract

BackgroundThe purpose of this investigation was to examine patients with low body mass index (BMI) regarding the feasibility to perform autologous breast reconstruction in such patients, as well as to determine optimal donor sites and evaluate outcomes accordingly. Patients and MethodsAll patients undergoing microsurgical breast reconstruction were divided into three cohorts based on BMI. Group 1 included patients with BMI greater than or equal to 22 kg/m(2) and was defined low-normal BMI. Patients with BMI 22 to 25 kg/m(2) were placed in Group 2, labeled as high-normal BMI. Group 3, defined as overweight, included patients with BMI greater than 25 kg/m(2), but less than 30 kg/m(2). Patients were then analyzed based on demographics, breast cancer history, intraoperative details, complications, and revisionary surgeries. F-tests, chi-square goodness-of-fit tests, and Freeman-Halton extension of the Fisher exact tests were used for statistical analysis. ResultsDuring the study period, a total of 259 reconstructions were performed. Group 1 included 30 patients (n=49 flaps), Group 2 included 58 patients (n=98 flaps), and Group 3 included 69 patients (n=112 flaps). Patients undergoing nipple-areolar sparing mastectomy were more likely to be in Groups 1 (39% [n=19]) and 2 (37% [n=37]) as compared with Group 3 (14.2% [n=16]) (p

Volume Number

31

Issue Number

1

Pages

20-25

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Surgery

Additional Departments

Otolaryngology

PMID

24911411

DOI

10.1055/s-0034-1376398