Satisfaction following Unilateral Breast Reconstruction: A Comparison of Pedicled TRAM and Free Abdominal Flaps

BACKGROUND:The purpose of this study was to compare patient satisfaction following unilateral pedicled transverse rectus abdominis myocutaneous (TRAM) and free abdominal flap reconstruction. METHODS:Patients who underwent unilateral breast reconstruction using pedicled TRAM or free abdominal flaps (...

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Published in:Plastic and reconstructive surgery. Global open 2015-08, Vol.3 (8), p.e482-e482
Main Authors: Schwitzer, Jonathan A, Miller, H Catherine, Pusic, Andrea L, Matros, Evan, Mehrara, Babak J, McCarthy, Colleen M, Lennox, Peter A, Van Laeken, Nancy, Disa, Joseph J
Format: Article
Language:English
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Summary:BACKGROUND:The purpose of this study was to compare patient satisfaction following unilateral pedicled transverse rectus abdominis myocutaneous (TRAM) and free abdominal flap reconstruction. METHODS:Patients who underwent unilateral breast reconstruction using pedicled TRAM or free abdominal flaps (muscle-sparing TRAM or deep inferior epigastric perforator flap) and completed the BREAST-Q were identified from 2 prospectively maintained databases. BREAST-Q scores were assessed and compared for Satisfaction with Breasts, Outcome, and Physical Well-being Chest/Abdomen. RESULTS:Of the 138 patients who completed the BREAST-Q, 84 underwent pedicled TRAM flap reconstruction and 54 underwent free abdominal flap reconstruction. Overall, pedicled TRAM flap patients scored higher than free abdominal flap patients on all 4 BREAST-Q scales. This difference reached statistical significance in Satisfaction with Breasts (+7.74; P = 0.02). Similar results were found among patients who completed the BREAST-Q at
ISSN:2169-7574
2169-7574
DOI:10.1097/GOX.0000000000000458