The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
DIEP and Pedicled TRAM Flaps: A Comparison of Outcomes
Abstract
BACKGROUND: Studies comparing similar and sizable numbers of deep inferior epigastric perforator (DIEP) and pedicled transverse rectus abdominis musculocutaneous (TRAM) flap reconstructions are lacking. The authors hoped to determine whether the DIEP flap has advantages over the pedicled TRAM flap for breast reconstruction. METHODS: The authors retrospectively reviewed the records of women undergoing breast reconstruction over a 9-year period at a single institution. Patients were grouped by type of reconstruction: DIEP or pedicled TRAM. Only patients with at least 3 months of postoperative follow-up were studied. RESULTS: A total of 190 women underwent unilateral breast reconstructions (96 DIEP and 94 pedicled TRAM flaps). The patient groups were similar in terms of age, body mass index, preoperative chest wall irradiation and abdominal operations, and cancer stage. The median hospital stay for the DIEP group was shorter than that for the pedicled TRAM group (4 versus 5 days, p < .001). Operative time for the DIEP group (5:53 hours) was longer than that for the pedicled TRAM group (4:46 hours, p < .001). The fat necrosis rates for the pedicled TRAM group were higher (58.5 percent) than those for the DIEP group (17.7 percent, p < .001). Abdominal wall hernias occurred more frequently in pedicled TRAM (16.0 percent) than DIEP patients (1.0 percent, p < .001). Abdominal wall bulge rates were similar for both groups (DIEP 9.4 percent versus pedicled TRAM 14.9 percent). CONCLUSIONS: DIEP flap reconstruction can be performed with lower morbidity rates and shorter hospital stays than pedicled TRAM reconstruction. Specifically, fat necrosis and abdominal wall hernias are less common in DIEP patients than in pedicled TRAM patients, while flap failure and abdominal wall bulging rates are similar in the two patient groups. These data support the DIEP flap as the preferred option over the pedicled TRAM flap for autologous breast reconstruction in postmastectomy patients.
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Citations
Cites
Laparoscopic Versus Open Gastric Bypass: A Randomized Study of Outcomes, Quality of Life, and Costs
Nguyen, N. T., Goldman, C., Rosenquist, C. J., Arango, A., Cole, C. J., Lee, S. J., & Wolfe, B. M. (2001) · Annals of Surgery · doi:10.1097/00000658-200109000-00002 · Cited by 1,055
The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction
Blondeel, P. N., Vanderstraeten, G. G., Monstrey, S. J., Van Landuyt, K., Tonnard, P., Lysens, R., Boeckx, W. D., & Matton, G. (1997) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(97)90540-3 · Cited by 624
A 10-Year Retrospective Review of 758 DIEP Flaps for Breast Reconstruction
Gill, P. S., Hunt, J. P., Guerra, A. B., Dellacroce, F. J., Sullivan, S. K., Boraski, J., Metzinger, S. E., Dupin, C. L., & Allen, R. J. (2004) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000110328.47206.50 · Cited by 605
Alderman, A. K., Wilkins, E. G., Kim, H. M., & Lowery, J. C. (2002) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-200206000-00015 · Cited by 602
The Vascular Territories of the Superior Epigastric and the Deep Inferior Epigastric Systems
Boyd, J. B., Taylor, G. I., & Corlett, R. J. (1984) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-198401000-00001 · Cited by 532
Meta-analysis of techniques for closure of midline abdominal incisions
van 't Riet, M., Steyerberg, E. W., Nellensteyn, J., Bonjer, H. J., & Jeekel, J. (2002) · British Journal of Surgery · doi:10.1046/j.1365-2168.2002.02258.x · Cited by 431
Tran, N. V., Chang, D. W., Gupta, A., Kroll, S. S., & Robb, G. L. (2001) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-200107000-00013 · Cited by 402
Effect of Smoking on Complications in Patients Undergoing Free TRAM Flap Breast Reconstruction
Chang, D. W., Reece, G. P., Wang, B., Robb, G. L., Miller, M. J., Evans, G. R. D., Langstein, H. N., & Kroll, S. S. (2000) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200006000-00010 · Cited by 370
Chang, D. W., Wang, B.-G., Robb, G. L., Reece, G. P., Miller, M. J., Evans, G. R. D., Langstein, H. N., & Kroll, S. S. (2000) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-200004050-00007 · Cited by 359
Blondeel, P. N., Arnstein, M., Verstraete, K., Depuydt, K., Van Landuyt, K. H., Monstrey, S. J., & Kroll, S. S. (2000) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-200011000-00009 · Cited by 334
Cited by
Yueh, J. H., Slavin, S. A., Adesiyun, T., Nyame, T. T., Gautam, S., Morris, D. J., Tobias, A. M., & Lee, B. T. (2010) · Plastic and Reconstructive Surgery · doi:10.1097/prs.0b013e3181cb6351 · Cited by 390
Gurtner, G. C., Jones, G. E., Neligan, P. C., Newman, M. I., Phillips, B. T., Sacks, J. M., & Zenn, M. R. (2013) · Annals of Surgical Innovation and Research · doi:10.1186/1750-1164-7-1 · Cited by 256
Metadata
- Authors
- Garvey, P. B., Buchel, E. W., Pockaj, B. A., Casey, W. J., Gray, R. J., Hern??ndez, J. L., & Samson, T. D.
- Venue
- Plastic and Reconstructive Surgery
- Published
- 2006-05
- Volume
- 117
- Issue
- 6
- Pages
- 1711-1719
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2064485818
- Cited by
- 255
- References
- 16
- FWCI
- 12.78
- Type
- journal article
- Language
- en
- Open access
- closed
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- Garvey, P. B., Buchel, E. W., Pockaj, B. A., Casey, W. J., Gray, R. J., Hern??ndez, J. L., & Samson, T. D. (2006). DIEP and Pedicled TRAM Flaps: A Comparison of Outcomes. Plastic and Reconstructive Surgery. https://doi.org/10.1097/01.prs.0000210679.77449.7d
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