Effects of DIEP flap-based breast reconstruction on respiratory function

Area of Science:

• Plastic Surgery
• Oncology
• Pulmonology

Background:

• Deep Inferior Epigastric Perforator (DIEP) flap breast reconstruction is a gold standard technique.
• Concerns exist regarding abdominoplasty's impact on respiratory function, particularly after DIEP flap donor-site closure.
• The effect of DIEP flap breast reconstruction on respiratory function has not been previously studied.

Purpose of the Study:

• To prospectively compare preoperative and postoperative spirometry in patients undergoing DIEP flap breast reconstruction.
• To investigate the impact of DIEP flap breast reconstruction on respiratory function.

Main Methods:

• 21 patients undergoing DIEP flap breast reconstruction were enrolled.
• Pulmonary function was assessed using spirometry 1 month preoperatively and 1 year postoperatively.
• Forced Expiratory Volume in 1 second (FEV1), Forced Vital Capacity (FVC), FEV1/FVC ratio, and Peak Expiratory Flow (PEF) were measured.

Main Results:

• All spirometry variables showed improved mean values at 1 year post-surgery.
• Peak Expiratory Flow (PEF) demonstrated a statistically significant improvement (P=0.001).
• No negative impact on overall respiratory function was observed.

Conclusions:

• DIEP flap breast reconstruction does not appear to negatively affect respiratory function.
• The findings support considering DIEP flap reconstruction even in patients with pre-existing pulmonary function deficits.
• Further research is warranted to fully elucidate long-term respiratory effects.