Table 1.
Case | Age | Indication | Risk factors | Procedure | Complications | Follow-up time, mo |
---|---|---|---|---|---|---|
1 | 57 | Additional bulk to previously reconstructed breast with TRAM flap | None | Delay of TDAP flap–TDAP flap (2 wk after delay) | Hematoma, Small skin dehiscence, completely healed conservatively | 17 |
2 | 52 | Additional bulk to previously reconstructed breast with implant | Smoking | TDAP flap | None | 1 |
3 | 65 | Additional bulk to previously reconstructed breast with intercostal artery perforator flap | Preoperative radiation | TDAP flap | None | 12 |
4 | 43 | Delayed complete breast reconstruction | Preoperative radiation | TDAP flap and expander insertion | Extruded expander | 16 |
5 | 50 | Immediate complete breast reconstruction | None | TDAP flap and implant insertion | Partial necrosis of mastectomy breast flap laterally treated conservatively | 12 |
6 | 43 | Exposure of implant | Preoperative radiation | TDAP flap and expander insertion | None | 2.5 |
7 | 47 | Immediate complete breast reconstruction | None | TDAP flap and implant insertion | None | 5 |
8 | 50 | Breakdown and expose of AlloDerm after replacement to permanent implant | Preoperative radiation | TDAP flap (implant was inserted in a pervious operation) | None | 9 |
9 | 69 | Delayed breast reconstruction | Preoperative radiation | TDAP flap and implant insertion | None | 3 |
10 | 40 | Immediate complete breast reconstruction | None | TDAP flap and implant insertion | None | 4 |
11 | 40 | Immediate complete breast reconstruction | None | TDAP flap and implant insertion | None | 9 |
12 | 58 | Early lumpectomy | Postoperative radiation | TDAP flap | None | 5 |
13 | 60 | Early lumpectomy | None | TDAP flap | None | 1 |
14 | 58 | Delayed complete breast reconstruction | None | TDAP flap and expander insertion | Expander removal due to infection | 2 |
15 | 55 | Delayed complete breast reconstruction | None | TDAP flap and expander insertion | None | 1 |
16 | 52 | Immediate lumpectomy | None | TDAP flap | None | 1 |
17 | 53 | Additional bulk to previously reconstructed breast with implant | None | TDAP flap (implant was inserted in a pervious operation) | Hematoma | 1 |
18 | 53 | Bilateral complete reconstruction, immediate on one side and delayed on the other side | Preoperative radiation to the delayed breast reconstruction | Bilateral TDAP flap and expander insertion | None | 1 |
*TDAP indicates thoracodorsal artery perforator; TRAM, transverse rectus abdominis myocutaneous flap.