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. 2026 Aug 19;15(9):258. doi: 10.21037/gs-2026-0261

Table 2. Comparison of clinical outcomes between implant-based and pedicled TRAM flap breast reconstruction.

Characteristics Implant-based reconstruction (n=30) Pedicled TRAM flap reconstruction (n=30) Mean difference (95% CI)  P value
Operative time (hours) 2.45±0.83 4.78±0.77 −2.33 (−2.75 to −1.91)  <0.001
Blood loss (mL) 135.83±69.38 331.67±207.81 −195.84 (−280.15 to −111.52)  <0.001
Length of hospital stay (days) 7.76±2.27 9.33±6.62 −1.57 (−4.09 to 0.95)  0.22
Postoperative pain score (0–10) 4.80±1.03 7.23±1.04 −2.43 (−2.95 to −1.91)  <0.001
Total drainage volume (mL) 367.83±261.44 479.40±169.61 −111.57 (−225.46 to 2.33)  0.055
Complications 6 (20.0) 7 (23.3) –  0.75
Hematoma 1 (3.3) 1 (3.3) –  –
Skin or nipple-sparing necrosis 1 (3.3) 2 (6.7) –  –
TRAM flap necrosis 0 (0.0) 4 (13.3) –  –
Capsular contracture 3 (10.0) 0 (0.0) –  –

Data are presented as mean ± standard deviation or n (%). All statistical tests were two-sided, and a P value <0.05 was considered statistically significant. CI, confidence interval; TRAM, transverse rectus abdominis myocutaneous.