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Evolution and practice pattern in microsurgical breast reconstruction-A European multicenter study.

Laura Cosima Siegwart1, Lisanne Grünherz2, Laurenz Weitgasser3

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PubMed
Summary
This summary is machine-generated.

Microsurgical breast reconstruction has significantly increased since 2010, with a growing trend towards alternative flaps. Patient factors and cancer treatments influence flap selection for natural results.

Keywords:
Autologous breast reconstructionBreast cancerDIEP flapMastectomyMicrosurgical breast reconstructionTMG flap

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Area of Science:

  • Plastic Surgery
  • Oncology
  • Reconstructive Surgery

Background:

  • Investigates the evolution and practice patterns of microsurgical breast reconstruction.
  • Analyzes trends from 2010 to 2019 across six European centers.

Purpose of the Study:

  • To examine the changes in microsurgical breast reconstruction techniques.
  • To identify predictors influencing the choice of surgical flaps.

Main Methods:

  • Retrospective multicenter study of 3344 patients undergoing microsurgical breast reconstruction.
  • Comparative analysis of abdominal versus alternative flap groups.
  • Regression analysis to assess trends and predictors of flap choice.

Main Results:

  • Significant annual increase in microsurgical breast reconstruction (3.7%) and alternative flap usage (12.6%).
  • Deep inferior epigastric perforator, transverse musculocutaneous gracilis, and muscle-sparing transverse rectus abdominis muscle flaps were most common.
  • Patient characteristics and treatment history significantly predicted flap selection.

Conclusions:

  • Microsurgical breast reconstruction has evolved, with increasing use of alternative flaps.
  • Surgical and adjuvant therapies impact flap choice for personalized breast reconstruction.
  • Customized approaches enable natural breast reconstruction for individual patient needs.