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Background: A two center retrospective cohort study of simultaneous bilateral breast reconstructions using double deep inferior epigastric perforator (DIEP) flaps and double transverse myocutaneous/upper gracilis (TMG) flaps was conducted. The aim of this study was to compare surgical procedures, complications, and overall outcome.

Patients and Methods: Two study groups, either receiving a simultaneous bilateral breast reconstruction, with double DIEP flaps ( n = 152) in group 1, or double TMG flaps ( n = 86) in group 2, were compared. A detailed risk and complication analysis was performed. Patient characteristics, operative time and the need for further operations were evaluated.

Results: Double DIEP patients had donor site complications in 23.7% and double TMG patients in 16.3% ( p = 0.9075, RR 1.45). Flap loss rates of 3.5% (double TMG) and 2.6% (double DIEP) were recorded ( p = 0.7071, RR 1.33). The need for postoperative lipofilling was significantly higher in double TMG patients (65.1% vs. 38.2 %, p = 0.0047, RR 1.71).

Conclusion: Complication analysis favors the double DIEP procedure. Donor site morbidity was lower and less severe in the double TMG group. Later fat grafting was more frequently needed after double TMG reconstructions. Further studies, preferably of prospective nature, are needed to evaluate the benefit of bilateral simultaneous breast reconstructions.

Titel:	Bilateral Simultaneous Breast Reconstruction with DIEP- and TMG Flaps: Head to Head Comparison, Risk and Complication Analysis.
Autor/in / Beteiligte Person:	Weitgasser, L ; Schwaiger, K ; Medved, F ; Hamler, F ; Wechselberger, G ; Schoeller, T
Link:	Zum Volltext
Zeitschrift:	Journal of clinical medicine, Jg. 9 (2020-06-28), Heft 7
Veröffentlichung:	Basel, Switzerland : MDPI AG, [2012]-, 2020
Medientyp:	academicJournal
ISSN:	2077-0383 (print)
DOI:	10.3390/jcm9072031
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [J Clin Med] 2020 Jun 28; Vol. 9 (7). <i>Date of Electronic Publication: </i>2020 Jun 28. References: Ann Surg Oncol. 2017 Jun;24(6):1465-1474. (PMID: 28229288) ; Plast Reconstr Surg. 2004 Jul;114(1):69-73. (PMID: 15220571) ; J Plast Reconstr Aesthet Surg. 2017 Nov;70(11):1505-1513. (PMID: 28684286) ; Ann Plast Surg. 2016 Jan;77(1):67-71. (PMID: 25003429) ; J Reconstr Microsurg. 2015 Jan;31(1):20-5. (PMID: 24911411) ; J Plast Reconstr Aesthet Surg. 2010 Feb;63(2):305-13. (PMID: 19131289) ; J Plast Reconstr Aesthet Surg. 2015 Jan;68(1):e1-6. (PMID: 25456283) ; Plast Reconstr Surg. 1994 Jun;93(7):1410-6; discussion 1417. (PMID: 8208807) ; J Plast Reconstr Aesthet Surg. 2006;59(10):1031-6. (PMID: 16996424) ; Plast Reconstr Surg. 2004 Apr 1;113(4):1153-60. (PMID: 15083015) ; Plast Reconstr Surg. 2008 Nov;122(5):1326-33. (PMID: 18971715) ; Ann Surg Oncol. 2017 Jun;24(6):1451-1453. (PMID: 28194591) ; Plast Reconstr Surg. 2009 Nov;124(5):1400-9. (PMID: 20009824) ; J Reconstr Microsurg. 2014 Feb;30(2):121-5. (PMID: 24163223) ; J Clin Oncol. 2000 May;18(9):1980-95. (PMID: 10784640) ; Plast Reconstr Surg. 2015 Sep;136(3):447-54. (PMID: 26057023) ; Microsurgery. 2017 Jan;37(1):12-20. (PMID: 25752264) ; Plast Reconstr Surg. 2011 Dec;128(6):607e-13e. (PMID: 22094759) ; Ann Plast Surg. 2010 Jan;64(1):17-21. (PMID: 20010408) ; Plast Reconstr Surg. 2011 Apr;127(4):1417-24. (PMID: 21460649) ; Plast Reconstr Surg. 2011 Oct;128(4):233e-242e. (PMID: 21921734) ; Plast Reconstr Surg. 2004 Jul;114(1):83-9; discussion 90-2. (PMID: 15220573) ; Plast Reconstr Surg. 2000 Feb;105(2):714-9. (PMID: 10697185) ; Plast Reconstr Surg. 2010 Jul;126(1):17-25. (PMID: 20595829) ; Plast Reconstr Surg. 1999 Jan;103(1):86-95. (PMID: 9915167) ; Plast Reconstr Surg. 2008 Jul;122(1):29-38. (PMID: 18594364) ; Plast Reconstr Surg. 2000 Sep;106(4):769-76. (PMID: 11007387) Contributed Indexing: Keywords: DCIS; DIEP; TMG; TUG; breast reconstruction; double free flap; free flaps; mammary cancer; microsurgery; microsurgical; muscle, gracilis Entry Date(s): Date Created: 20200702 Latest Revision: 20200928 Update Code: 20231215 PubMed Central ID: PMC7409039

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Bilateral Simultaneous Breast Reconstruction with DIEP- and TMG Flaps: Head to Head Comparison, Risk and Complication Analysis.