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

Table 4. Comparison of cosmetic satisfaction between implant-based and pedicled TRAM flap reconstruction.

Cosmetic satisfaction Implant-based reconstruction (n=30) Pedicled TRAM flap reconstruction (n=30) Mean difference (95% CI) P value
Cosmetic satisfaction score (0–100 scale) 78.3±17.0 62.5±15.7 15.83 (7.36 to 24.31) <0.001
Likert scale categories
   5 (extremely satisfied) 9 (30.0) 2 (6.7) – –
   4 (very satisfied) 16 (53.3) 11 (36.7) – –
   3 (satisfied) 5 (16.7) 17 (56.7) – –
   2 (not satisfied) 0 (0.0) 0 (0.0) – –
   1 (extremely dissatisfied) 0 (0.0) 0 (0.0) – –

Data are presented as mean ± standard deviation or n (%). Cosmetic satisfaction scores were assessed using a 5-point Likert scale and transformed to a 0–100 scale for analysis, with higher scores indicating greater satisfaction. Mean differences represent implant-based reconstruction minus pedicled TRAM flap reconstruction. A two-sided P value <0.05 was considered statistically significant. CI, confidence interval; TRAM, transverse rectus abdominis myocutaneous.