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Complications Following Abdominal-Based Microsurgical Breast Reconstruction
Nicholas Savage1, Jackson Catalano1, Jieyun Zhou1
1Plastic and Reconstructive Surgery, Monash Health, Dandenong, Victoria, Australia.
ANZ Journal of Surgery
|July 30, 2026
Summary
Higher BMI and respiratory issues increase post-surgery complications in microsurgical breast reconstruction. Identifying these risk factors can improve patient outcomes and reduce healthcare costs.
Area of Science:
- Plastic Surgery
- Oncology
- Public Health
Background:
- Microsurgical breast reconstruction is a standard procedure post-mastectomy.
- Challenges persist for patients and healthcare systems.
- This study identifies risk factors for complications.
Purpose of the Study:
- To uncover variables linked to post-surgical complications in microsurgical autologous reconstruction.
- To inform strategies for reducing risk and cost.
- To optimize patient experience and guide clinical practice.
Main Methods:
- Retrospective cohort analysis of 204 women.
- Data collected from electronic medical records (August 2022 - February 2024).
- Focus on respiratory and wound complications.
Main Results:
- Increased BMI (per kg/m²) correlated with 8% higher respiratory complications.
- Increased BMI (per kg/m²) correlated with 11% higher wound complications.
- Respiratory comorbidities, operative duration, and intra-operative fluid volume were significant factors.
Conclusions:
- Identified pre- and intra-operative risk factors for microsurgical breast reconstruction complications.
- Findings can inform clinical practice changes and patient education.
- Quantified risks may guide alternative treatment pathways for high-risk patients.
