A Meta-analysis Comparing Deep Inferior Epigastric Perforator Flaps and Latissimus Dorsi Flaps in Breast...

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Oncology

Background:

• Deep inferior epigastric perforator (DIEP) and latissimus dorsi (LD) flaps are established breast reconstruction methods.
• Both techniques present unique benefits and drawbacks influencing patient outcomes.
• Comparative analysis is crucial for optimizing surgical choices in breast reconstruction.

Purpose of the Study:

• To compare patient satisfaction and complication rates between DIEP and LD flap breast reconstruction.
• To provide evidence-based insights for clinical decision-making in breast reconstruction surgery.
• To evaluate the long-term outcomes and patient-reported benefits of two major reconstructive techniques.

Main Methods:

• A systematic meta-analysis was conducted using data from PubMed, Scopus, and Web of Science.
• Studies comparing DIEP and LD flaps, focusing on BREAST-Q patient satisfaction and complications, were included.
• Statistical analysis was performed using RevMan 5.4 to synthesize findings from 13 selected studies involving 2128 patients.

Main Results:

• DIEP flaps demonstrated significantly higher patient satisfaction in terms of breast appearance, physical well-being, and overall outcome.
• DIEP flaps were associated with increased rates of skin flap necrosis, wound dehiscence, and reoperation.
• Conversely, LD flaps showed higher rates of seroma formation compared to DIEP flaps.

Conclusions:

• DIEP flap reconstruction leads to superior patient satisfaction compared to LD flap reconstruction.
• The choice between DIEP and LD flaps involves balancing improved aesthetic and satisfaction outcomes with potential increases in specific surgical complications.
• Further research may explore strategies to mitigate DIEP flap-related complications while maximizing patient benefits.