ArticlePlastic and reconstructive surgery. Global open2026
Associations of Deep Inferior Epigastric Perforator Flap Weight with Postoperative Complications and Revisions.
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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8 authors.
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Abstract
Background: The deep inferior epigastric perforator (DIEP) flap has emerged as the preferred method for autologous breast reconstruction. There is growing interest in identifying factors associated with complications. This study investigates the relationship between DIEP flap weight and postoperative outcomes using a large, DIEP-specific database. Methods: We performed a retrospective review of 757 patients (757 oncologic flaps) with a history of breast cancer who underwent DIEP flap reconstruction from 2017 to 2024 at 2 medical sites. Demographics, medical history, operative course, and complications were analyzed. Results: Body mass index (BMI) strongly correlated with flap weight ( Conclusions: Flap weight correlated with complications in select BMI subgroups, most notably BMI 30-35, although findings were inconsistent across groups. Further study is needed to better understand the multifactorial relationship between flap weight and postoperative outcomes.
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