Donor-Site Morbidity and Quality of Life after Autologous Breast Reconstruction with PAP versus TMG Flap

Augustin, Angela; Pülzl, Petra; Morandi, Evi M.; Winkelmann, Selina; Schoberleitner, Ines; Brunner, Christine; Ritter, Magdalena; Bauer, Thomas; Wachter, Tanja; Wolfram, Dolores

doi:10.3390/curroncol29080448

Cited by 7 publications

(3 citation statements)

References 40 publications

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“…Besides flap characteristics, donor site morbidity must be well considered for an evaluation of the surgical methods. Preliminary studies demonstrate that functional deficits are rare in thigh donor sites, but they may cause concern regarding the ability to sit for prolonged periods or the restriction of leisure activities, such as bike-riding, stretching, hiking, and climbing [25]. Haddock reports a return to normal lower extremity musculoskeletal condition after six months and high patient satisfaction after PAP harvesting [23].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis

Augustin

Morandi

Winkelmann

et al. 2023

JCM

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(1) Background: This work aimed to conduct a comparative study, providing long-term data about patient-reported outcome measures and donor site scar assessments, as well as an aesthetic evaluation of the reconstructed breasts in patients with DIEP versus PAP flap breast reconstruction. (2) Methods: This prospective, single-center, matched cohort study included a total of 36 patients after DIEP and PAP flap breast reconstruction. The evaluation was carried out using the Breast-Q and POSAS questionnaire, as well as the Breast Aesthetic Scale for cosmetic analysis, by four plastic surgeons. (3) Results: The postoperative Breast-Q evaluation revealed no significant differences between both patient groups for the categories of the physical well-being of the donor site, the physical well-being of the breast, and satisfaction with the breast. A scar evaluation of the donor site region showed equivalent results for the thigh and abdomen regions, concerning the overall opinion of the patients and the observers. There was no significant difference between both methods of reconstruction for all aspects of breast aesthetics. (4) Conclusions: Similar results for donor site morbidity, scar quality, and the aesthetic outcome of the breasts in both the DIEP and PAP patient groups have been demonstrated. Hence, in those cases suitable for both types of reconstruction, the decision can be based on factors such as patients’ lifestyles, leisure activities, and preferences.

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Section: Discussionmentioning

confidence: 99%

Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis

Augustin

Morandi

Winkelmann

et al. 2023

JCM

Self Cite

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show abstract

“…Besides flap characteristics, donor-site morbidity must be well considered for evaluation of surgical methods. Preliminary studies demonstrate that functional deficits are rare in thigh donorsites, but they may concern the ability to sit for prolonged periods or restriction in leisure activities such as bike-riding, stretching, hiking and climbing [26]. Haddock reports a return to normal lower extremity musculoskeletal condition by six months and high patient satisfaction after PAP harvesting [24].…”

Section: Discussionmentioning

confidence: 99%

Long-term Results after Autologous Breast Reconstruction with DIEP Versus PAP Flaps based on Quality of Life and Aesthetic Outcome Analysis

Augustin¹,

Morandi²,

Winkelmann³

et al. 2022

Preprint

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(1) Background: This work aimed to conduct the first comparative study providing long-term data about patient reported outcome measures as well as donor-site scar assessment and aesthetic evaluation of the reconstructed breasts in patients with DIEP versus PAP flap breast reconstruction. (2) Methods: This prospective, single-center, matched cohort study included a total of 36 patients after DIEP and PAP flap breast reconstruction. Evaluation was done using the Breast-Q and POSAS questionnaire as well as the Breast Aesthetic Scale for cosmetic analysis by four plastic surgeons. (3) Results: Post-operative Breast-Q evaluation revealed no significant differences between both patient groups for the categories physical well-being donor-site, physical well-being breast and satisfaction with the breast. Scar evaluation of the donor-site region showed equivalent results for the thigh and the abdomen concerning the overall opinion of patients and observers. There was no significant difference between both methods of reconstruction for all aspects of breast aesthetics. (4) Conclusions: Similar results of donor-site morbidity, scar quality and aesthetic outcome of the breast in both the DIEP and PAP patient group have been demonstrated. Hence, in cases suitable for both types of reconstruction, the decision can be based on factors such as patients’ lifestyle, leisure activities and preferences.

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“…Moreover, translational medicine involves the use of cell-and tissue-engineering scaffolds, decellularized extracellular matrix, wearable medical sensors, micro-and nano-medicine, 3D bioprinting, biologically inspired engineering, organ chips, and bioelectronics. The advent of microsurgery has brought important improvements in autologous reconstructive options [29][30][31][32]; however, the morbidity of the donor site and the scarring outcomes still remain prevalent [33,34]. Reconstructive plastic surgery aims to provide vital tissue and, above all, replacing like tissue with like tissue, respecting anatomical zones, to restore a wide range of defects.…”

Section: Translational Reconstructive Laddermentioning

confidence: 99%

The Evolution of Current Concept of the Reconstructive Ladder in Plastic Surgery: The Emerging Role of Translational Medicine

De Francesco,

Zingaretti,

Parodi

et al. 2023

Cells

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Plastic surgeons have used the reconstructive ladder for many decades as a standard directory for complex trauma reconstruction with the goal of repairing body structures and restoring functionality. This consists of different surgical maneuvers, such as secondary intention and direct tissue closure, as well as more complex methods such as local tissue transfer and free flap. The reconstructive ladder represents widely known options achievable for tissue reconstruction and wound closure that puts at the bottom rung the simplest methods of reconstruction and strengthens the complexity by moving upward. Regenerative medicine and surgery constitute a quickly spreading area of translational research that can be employed by minimally invasive surgical strategies, with the aim of regenerating cells and tissues in vivo in order to reestablish normal function through the intrinsic potential of cells, in combination with biomaterials and appropriate biochemical stimuli. These translational procedures have the aim of creating an appropriate microenvironment capable of supporting the physiological cellular function to generate the desired cells or tissues and to generate parenchymal, stromal, and vascular components on demand, and above all to produce intelligent materials capable of determining the fate of cells. Smart technologies have been grown that give extra “rungs” on the classic reconstructive ladder to integrate a more holistic, patient-based approach with improved outcomes. This commentary presents the evolution of the traditional concept of the reconstructive ladder in the field of plastic surgery into a new course with the aim of achieving excellent results for soft tissue reconstruction by applying innovative technologies and biologically active molecules for a wide range of surgical diseases.

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Donor-Site Morbidity and Quality of Life after Autologous Breast Reconstruction with PAP versus TMG Flap

Cited by 7 publications

References 40 publications

Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis

Long-Term Results after Autologous Breast Reconstruction with DIEP versus PAP Flaps Based on Quality of Life and Aesthetic Outcome Analysis

Long-term Results after Autologous Breast Reconstruction with DIEP Versus PAP Flaps based on Quality of Life and Aesthetic Outcome Analysis

The Evolution of Current Concept of the Reconstructive Ladder in Plastic Surgery: The Emerging Role of Translational Medicine

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