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Less Is More: The Role of Mesh in Microsurgical Breast Reconstruction with Abdominal Flaps.
Less Is More: The Role of Mesh in Microsurgical Breast Reconstruction with Abdominal Flaps. Journal of reconstructive microsurgery Liu, F. C., Najafali, D., Nguyen, D., Momeni, A. 2024Abstract
The use of mesh to reinforce the abdominal wall after abdominal flap harvest has been reported to decrease the risk of bulging and herniation. However, the impact of the plane of mesh placement in relation to the anterior rectus sheath (vs. no mesh) on postoperative abdominal complications remains unclear. We retrospectively analyzed the length of stay and clinical outcomes in 158 female patients who underwent breast reconstruction with 250 free abdominal flaps. Group 1 consisted of patients who underwent polypropylene sublay-onlay ("sandwich") mesh placement (N?=?70) versus polypropylene sublay-only mesh (group 2; N?=?54) versus primary fascial repair without mesh (group 3; N?=?34). Patient demographics and comorbidities were comparable between study groups, except for rates of neoadjuvant chemotherapy (group 1: 53% vs. group 2: 33% vs. group 3: 24% [p?
View details for DOI 10.1055/s-0044-1788929
View details for PubMedID 39168135