ArticlePlastic and reconstructive surgery. Global open2026
Simultaneous Bilateral Microsurgery in Autologous Tissue Breast Reconstruction.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
9 authors.
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Abstract
Bilateral autologous breast reconstruction requires microsurgery on both sides, increasing operative time and surgeon workload compared with unilateral reconstruction. This study examines the efficacy of a simultaneous microsurgical approach for bilateral breast reconstruction in reducing operative time and burden. A total of 22 patients who underwent bilateral breast reconstruction with deep inferior epigastric artery perforator flaps at the University of Toyama Hospital from March 2020 to December 2023 were included. These comprised 2 groups of patients who underwent either conventional sequential reconstruction or simultaneous reconstruction. In the conventional group, 1 flap was transected, and vascular anastomosis was completed before proceeding to the second flap. Abdominal closure was started after the transection of the second flap. In the simultaneous group, both flaps were transected at approximately the same time, and 2 surgeons performed the microsurgery simultaneously using separate microscopes. Abdominal closure began after both flaps were transected. Our results showed significantly shorter operative time (538 versus 657 min,
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