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Comparisons Between Normal Body Mass Index and Overweight Patients Who Underwent Unilateral Microsurgical Breast Reconstructions

  • Reconstructive Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

This study compared the outcomes of unilateral microsurgical breast reconstructions using abdomen-based flaps between normal body mass index (BMI; 18.5 < BMI < 24.9 kg/m2) and overweight (25 < BMI < 29.9 kg/m2) patients.

Methods

Between March 2000 and December 2015, patients who underwent unilateral breast reconstructions using abdomen-based flaps were retrospectively evaluated. Outcomes variables evaluated included the flap-used weight, flap-used/flap-harvested percentage, flap-used/specimen percentage, complication rates, revision procedures, and quality of life using the Breast-Q questionnaires.

Results

A total of 415 patients with a mean age of 45.3 ± 8.2 years underwent 418 abdomen-based flaps. The overall success rate was 98.8%, with 99.1% and 97.9% of patients included in the normal BMI and overweight groups, respectively (p = 0.36). The mean flap-used weight and flap-used/flap-harvested values of 461 ± 132.1 g and 82.2 ± 11.6%, respectively, in the normal BMI group were statistically different from values of 610 ± 148.9 g and 71.4 ± 14.1% in the overweight group (both p < 0.01). The mean flap-used/specimen percentage was 118.5 ± 32.9 and 111.7 ± 36.6 in the normal BMI and overweight groups, respectively (p = 0.26). At a mean follow-up of 135 ± 55.4 months, there were no statistical differences between the two groups in terms of total complication rates (25.7% vs. 29.2%; p = 0.30), revision times (36.1% vs. 36.5%; p = 0.91) and all four domains (all p > 0.05) of the Breast-Q.

Conclusions

Patients with a normal BMI required a smaller flap-used weight but higher flap-used/flap-harvested percentage for unilateral microsurgical breast reconstructions that could be performed with a high success rate and comparable complication and revision rates.

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Data Availability Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Authors and Affiliations

  1. Center of Lymphedema Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, 5, Fu-Hsing Street, Kweishan, Taoyuan, 333, Taiwan, ROC

    Ming-Huei Cheng MD, MBA, FACS, Satomi Koide MD, MBBS & Yi-ling Lin MSc

  2. Center for Tissue Engineering, Chang Gung Memorial Hospital, Taoyuan, Taiwan

    Ming-Huei Cheng MD, MBA, FACS

  3. Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Courtney Chen MD

Authors
  1. Ming-Huei Cheng MD, MBA, FACS
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  2. Satomi Koide MD, MBBS
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  3. Courtney Chen MD
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  4. Yi-ling Lin MSc
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Correspondence to Ming-Huei Cheng MD, MBA, FACS.

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Disclosures

Dr. Cheng has received textbook royalties from Elsevier, Inc. No funding was received for this article. Ming-Huei Cheng, Satomi Koide, Courtney Chen, and Yi-ling Lin have no conflicts of interest to declare.

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Cheng, MH., Koide, S., Chen, C. et al. Comparisons Between Normal Body Mass Index and Overweight Patients Who Underwent Unilateral Microsurgical Breast Reconstructions. Ann Surg Oncol 28, 353–362 (2021). https://doi.org/10.1245/s10434-020-09076-3

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