ArticleSurgical endoscopy2025
Open preperitoneal abdominal wall reconstruction (AWR) for patients with deep inferior epigastric perforator (DIEP) or transverse rectus abdominis myocutaneous (TRAM) flap hernias.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Sex-based outcomes after elective open abdominal wall reconstruction: a propensity score-matched analysis.Surgical endoscopy · 2026Article
- Surgeon perspectives on prehabilitation in Abdominal Wall Reconstruction (AWR): a multi-institution survey.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Does (patient) size matter? the impact of body mass index on outcomes for patients undergoing minimally invasive transversus abdominis release.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDonor site hernias or eventrations are a known complication of DIEP or TRAM flap breast reconstruction. Surgical management of these complex hernias can be challenging due to missing or atrophic rectus muscle. The purpose of this study was to evaluate outcomes of preperitoneal AWR in patients with a history of DIEP or TRAM flap hernias.
methodsand procedures. A prospectively-maintained institutional database was queried for patients undergoing open preperitoneal ventral hernia repair (OVHR) with DIEP or TRAM flap hernias. Patient demographics, operative details, and wound complications were analyzed descriptively.
resultsA total of 35 patients met inclusion criteria. All patients were women, and the majority had a TRAM flap hernia (68.6%). The average age was 58.6 ± 10.2 years, and mean BMI was 29.7 ± 4.1 kg/m
conclusionsDIEP and TRAM flap hernia management is complex due to missing or dysfunctional rectus muscle(s). A preperitoneal OVHR is an effective approach to repair these hernias with limited post-operative complications and low recurrences with long term follow up.
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