The deep inferior epigastric perforator flap for breast reconstruction: Is this the ideal flap for asian women?

Abstract

Introduction: This study aims to evaluate the outcome and safety of the deep inferior epigastric perforator (DIEP) fl ap for breast reconstruction in a group of Southeast Asian women treated in our unit and to identify risk factors for breast reconstruction using the DIEP fl ap in this population. Materials and Methods: This is a prospective study on 50 consecutive DIEP fl ap breast reconstructions by a single surgeon in an academic institution between July 1999 and July 2006. Data on patient demographics, diagnosis, procedure type, adjuvant and neoadjuvant treatments, risk factors and complications were prospectively collected and registered in a clinical database. Outcome variables include total fl ap loss, partial fl ap loss, fat necrosis and minor complications related to the donor site or fl ap. Known risk factors are analysed to determine if they affect outcome in terms of complication rate in this group of patients. Results: Total fl ap loss, partial fl ap loss and fat necrosis complication rates were 6%, 4% and 10%, respectively. Flap complication rates were comparable to those quoted by previous studies done worldwide. Obesity (BMI >27) is a statistically signifi cant factor associated with development of DIEP fl ap complications in our population. Conclusion: Breast reconstruction with DIEP fl ap is a safe and reliable method when used in Southeast Asian women, offering optimal results with less donor -site morbidity. Obesity increases the incidence of fl ap complication in this group of patients.