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M oday, O cber 1, 2018 47.6% and 42.0% of all flaps performed, respectively. In the HS group, TRAM flaps comprised the vast majority of free flaps (72.6%). Mean anastomosis time was reported in five VC studies (4.46 minutes, 1,573 flaps) and only in one HS study (21 minutes, 887 flaps). Venous complications occurred in 143 flaps (2.61%), overall. There was a significantly decreased venous complication rate in the VC group as compared to the HS group (1.54% vs. 3.89%, p<0.0001). Venous complications were further categorized by etiology (e.g., thrombosis, mechanical kinking, insufficiency, etc.). Thrombosis accounted for the majority of venous complications in both the VC and HS groups (89.1% and 96.9%, respectively). The VC group experienced significantly reduced total flap failure rate (0.38% vs. 1.18%, p=0.0032) and return to the operating room (1.58% vs. 3.90%, p<0.0001) as compared to the HS group. Salvage rates in the VC and HS groups were 81.6% and 73.0%, respectively (p= 0.7576).

Abstract: Pre-Pectoral Vs. Sub-Pectoral Breast Reconstruction-a Matched-Pair Analysis of Clinical Outcomes