Factors Influencing Symptomatic and Nonsymptomatic Bulge Rates in the Abdominal Donor Site of Autologous Breast Reconstruction

摘要

INTRODUCTION: With continued demand for abdominal based breast reconstruction, it is important to understand all the factors influencing donor site morbidity. Previous studies mostly focus on type of flap and its associated donor site complications. However, we aim to assess other factors, including history of prior abdominal surgery, body mass index (BMI), and specific operative details such as the total area of muscle harvested, portion of the rectus muscle harvested, status of the anterior fascia after abdominal closure, use of mesh, and the status of abdominal wall nerves.