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    • Is Obesity A Restricting Factor for Abdominally Based Free Flaps in Breast Reconstruction?

    Ashrf Abo-Elftooh Khalil, Ahmed F. AboRady, Ahmed Nawwar, Ahmed Ragab Morsi
    Department of Surgery, Plastic Surgery Unit, Faculty of Medicine, Cairo University

    Introduction: both the incidence of breast cancer and obesity are increasing among Egyptian females. This implies more challenge to plastic surgeons in their efforts to perform aesthetically pleasant breast reconstruction with the least possible complications. Aim of the work: to highlight the safety, morbidity and patient satisfaction of the use of free TRAM flap and its variations in breast reconstruction for obese patients. Patients & Methods: 30 female patients were enrolled in this study. All of them seeking delayed breast reconstruction using free autologous tissue from the lower abdomen, patients were classified into 2 groups according to their body mass index: obese and non-obese. Results: incidence of flap complications was slightly higher in the obese group. Donor site complications were comparable in both groups Keywords: Obesity, Breast reconstruction, Free TRAM, DIEP flap

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