Changes To The Abdominal Wall After DIEP Flap Breast Reconstruction
Changes To The Abdominal Wall After DIEP Flap Breast Reconstruction
The purpose of this study was to perform an evaluation of the structural changes in the
 abdominal wall after harvesting a DIEP flap in breast reconstruction.

 14 women undergoing secondary, unilateral breast reconstruction were recruited to the study
 and underwent a 2 year postoperative CT scan of the abdomen (without contrast).

 Structural changes were assessed by comparing the abdominal CT scans performed prior to
 surgery with the 2 year postoperative CT scans.
The purpose of this study was to perform an evaluation of the structural changes in the
 abdominal wall after harvesting a DIEP flap in breast reconstruction.

 14 women undergoing secondary, unilateral breast reconstruction were recruited to the study
 and underwent a 2 year postoperative CT scan of the abdomen (without contrast).

 Structural changes were assessed by comparing the abdominal CT scans performed prior to
 surgery with the 2 year postoperative CT scans.

 The following structural changes were evaluated at four specific levels of the abdomen by two
 radiologists (among the authors): 1) rectus diastasis, 2) thickness and width of the rectus
 muscles, 3) thickness of the adipose tissue, 4) hernias (in the zone between the xiphoid
 process and the symphysis).

 The measurement levels chosen were: 1) 7 cm below the xiphoid process, 2) umbilicus level, 3)
 "central zone" (between level 2 and 4), 4) 5 cm above the symphysis

 Statistical analysis were performed to see if the structural measurements were significantly
 different comparing preoperative CT versus 2 year postoperative CT.
Inclusion Criteria:

 -  Secondary, unilateral breast reconstruction with a DIEP flap

 -  All smokers stopped smoking 4 weeks prior to surgery

 Exclusion Criteria:

 -  Metastatic disease

 -  Bilateral breast reconstruction