Changes To The Abdominal Wall After DIEP Flap Breast Reconstruction

University of Oslo (UIO)

Status: Completed

Conditions: Breast Reconstruction; Abdominal Wall Morbidity

Treatments: Device: 2 year postop CT scan of the abdomen

Study type: Observational

Funder types: Other

Identifiers

NCT02563977

KATønseth

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 14 patients

Sex: Female

Volunteers: No Healthy Volunteers

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

Trial design

14 participants in 1 patient group

DIEP flap breast reconstruction

Description:

14 patients who have had DIEP flap breast reconstruction and preoperative CT scan of the abdomen

Treatment:

Device: 2 year postop CT scan of the abdomen